DEPARTMENT OF INSURANCE

Affiliations

Name	Baskin, Michael Eugene	DOIID	332200	NAIC NPN	5934012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2007	5/31/2027
Active	Non Resident	Agent	Life	9/25/2007	5/31/2027
* 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	03/15/2025	05/31/2025	03/03/2025	03/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/9/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/9/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	3/10/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	11/28/2007	5/23/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	11/28/2007	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/17/2016
Active	American General Life Insurance Company	301585	Agent - Life	10/17/2016
Inactive	Athene Annuity and Life Company	301893	Agent - Life	3/14/2011	9/25/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/16/2012	6/11/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/16/2012	6/11/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/25/2013	6/15/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/22/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/25/2013	6/15/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/9/2016
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	2/23/2015	12/28/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/9/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/9/2010	12/26/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/25/2013	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2013	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2013	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2013	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2013	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2013	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/25/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/25/2013	10/22/2015
Inactive	Medico Insurance Company	301559	Agent - Health	8/13/2008	10/2/2008
Inactive	Medico Insurance Company	301559	Agent - Life	8/13/2008	10/2/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/20/2008	12/26/2012
Inactive	National States Insurance Company	300579	Agent - Health	10/1/2008	11/30/2010
Inactive	National States Insurance Company	300579	Agent - Life	10/1/2008	11/30/2010
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/13/2008	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/13/2008	7/17/2012
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	7/13/1998	11/27/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	7/13/1998	11/27/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/18/2008	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/18/2008	12/23/2014
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	7/25/2008	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	7/25/2008	3/31/2009
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2014
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/2/2012	11/30/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/30/2012	3/18/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/30/2012	3/18/2013
Inactive	United World Life Insurance Company	300532	Agent - Health	10/20/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/20/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/20/2008	12/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/13/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/13/2008
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Health Alliance LLC	667000	Agent - Life	8/13/2008	8/24/2012
Inactive	Continental Health Alliance LLC	667000	Agent - Health	8/13/2008	8/24/2012
Active	Continental Ins Service	786208	Agent - Life	7/14/2012
Active	Continental Ins Service	786208	Agent - Health	7/14/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/3/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/3/2025