DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuccella, Michelle	DOIID	1283800	NAIC NPN	20109226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/5/2023		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	1/9/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/8/2023
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	12/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geozoning Inc	832332	Agent - Health	9/27/2023