DEPARTMENT OF INSURANCE

Affiliations

Name	Southwick Jr, Michael Scott	DOIID	1301856	NAIC NPN	20843503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2023	8/31/2025
Active	Non Resident	Agent	Health	9/28/2023	8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/11/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/11/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	5/11/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/17/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/17/2024	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/18/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/25/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/17/2024	12/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/10/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/3/2023	5/3/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/3/2023	5/3/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/11/2024	11/29/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/11/2024	11/29/2024
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	1/7/2025
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	1/7/2025
Active	Humana Insurance Company	301104	Agent - Health	6/26/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/25/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/25/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/3/2023	5/3/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/3/2023	5/3/2024