DEPARTMENT OF INSURANCE
Affiliations
NameTolly, Michael JamesDOIID343216NAIC NPN1480165
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth8/27/1987 5/31/2025
ActiveResidentAgentLife8/27/1987 5/31/2025
DeniedResidentAgentCasualty   
DeniedResidentAgentProperty   
InactiveResidentAgentHealth Maintenance Organization8/25/19973/1/2001 
InactiveResidentAgentPrepaid Dental Plan8/5/19993/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health6/12/20177/7/2022
InactiveAetna Life Insurance Company301140Agent - Health6/12/20177/7/2022
InactiveAetna Life Insurance Company301140Agent - Life6/12/20177/7/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/15/20134/10/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/15/20134/10/2019
InactiveAmerican Fidelity Assurance Company301004Agent - Health2/7/20138/11/2016
InactiveAmerican Fidelity Assurance Company301004Agent - Life2/7/20138/11/2016
InactiveAmerican General Life Insurance Company301585Agent - Health2/4/20143/7/2014
InactiveAmerican General Life Insurance Company301585Agent - Life2/4/20143/7/2014
ActiveAmerican Heritage Life Insurance Company300272Agent - Health1/28/2011 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life1/28/2011 
ActiveAmerican United Life Insurance Company300498Agent - Health2/3/2020 
ActiveAmerican United Life Insurance Company300498Agent - Life2/3/2020 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/19/199912/28/2012
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/19/199912/28/2012
InactiveAssurity Life Insurance Company301099Agent - Health7/8/201412/12/2016
InactiveAssurity Life Insurance Company301099Agent - Life7/8/201412/12/2016
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/13/20002/23/2008
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/13/20002/23/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/15/20052/23/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/15/20052/23/2008
ActiveBoston Mutual Life Insurance Company300143Agent - Health10/7/2010 
ActiveBoston Mutual Life Insurance Company300143Agent - Life10/7/2010 
InactiveBrighthouse Life Insurance Company301829Agent - Health12/7/20072/9/2010
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20072/9/2010
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health3/2/20042/23/2008
InactiveCentre Life Insurance Company300341Agent - Health8/15/19953/31/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Health8/19/19987/22/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/19/19987/22/1999
InactiveCompBenefits Dental, Inc.591692Agent - Health7/28/20093/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health12/5/2019 
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
ActiveConnecticut General Life Insurance Company301333Agent - Health3/2/2004 
ActiveConnecticut General Life Insurance Company301333Agent - Life3/2/2004 
InactiveContinental American Insurance Company301700Agent - Health9/29/201112/30/2019
InactiveContinental American Insurance Company301700Agent - Life9/29/201112/30/2019
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveCoventry Health and Life Insurance Company301771Agent - Health6/12/20176/15/2022
ActiveDental Care Plus Inc.301495Agent - Health6/1/2015 
ActiveDental Concern Inc. (The)301641Agent - Health1/14/2021 
InactiveDentiCare, Inc.300655Agent - Health3/1/200111/1/2005
InactiveDentiCare, Inc.300655Agent - Prepaid Dental Plan8/5/19993/1/2001
InactiveEMC National Life Company300388Agent - Health5/5/20092/27/2017
InactiveEMC National Life Company300388Agent - Life5/5/20092/27/2017
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life3/5/20042/23/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health8/19/19987/22/1999
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life8/19/19987/22/1999
InactiveFidelity Security Life Insurance Company300466Agent - Health3/15/201812/11/2020
InactiveFidelity Security Life Insurance Company300466Agent - Life3/15/201812/11/2020
InactiveFirst Colony Life Insurance Company301179Agent - Life10/16/19957/19/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health5/17/20012/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life5/17/20012/23/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health2/26/200810/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/26/200810/4/2009
InactiveGrange Life Insurance Company300128Agent - Health9/19/20072/23/2008
InactiveGrange Life Insurance Company300128Agent - Life9/19/20072/23/2008
ActiveGuardian Life Insurance Company of America301316Agent - Health8/15/2005 
ActiveGuardian Life Insurance Company of America301316Agent - Life8/15/2005 
InactiveHCC Life Insurance Company301827Agent - Health9/23/20059/11/2007
InactiveHCC Life Insurance Company301827Agent - Life9/23/20059/11/2007
ActiveHartford Fire Insurance Company300628Agent - Health4/7/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Health10/19/2016 
ActiveHartford Life and Accident Insurance Company300878Agent - Life10/19/2016 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/31/2020 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health12/31/2020 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/25/19973/1/2001
ActiveHumana Insurance Company301104Agent - Health3/21/2007 
ActiveHumana Insurance Company301104Agent - Life3/21/2007 
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/31/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/31/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health12/31/2020 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/31/2020 
InactiveHumanaDental Insurance Company301457Agent - Health3/7/20095/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life3/7/20095/13/2013
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/24/19966/22/1999
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/24/19966/22/1999
InactiveKanawha Insurance Company300127Agent - Health4/11/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life4/11/20088/9/2018
InactiveLincoln Benefit Life Company301110Agent - Health1/16/20011/15/2004
InactiveLincoln Benefit Life Company301110Agent - Life1/16/20011/15/2004
ActiveLincoln National Life Insurance Company (The)301382Agent - Health11/11/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life11/11/2014 
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Health1/30/20065/17/2007
InactiveMEGA Life and Health Insurance Company (The)300751Agent - Life1/30/20065/17/2007
InactiveMetLife Investors USA Insurance Company300845Agent - Health3/14/200611/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/14/200611/19/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health7/25/199512/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life7/25/199512/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health2/24/200412/16/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life2/24/200412/16/2014
InactiveMidland Life Insurance Company (The)300310Agent - Health6/15/19983/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life6/15/19983/31/2001
ActiveMutual of Omaha Insurance Company301012Agent - Health8/11/2009 
InactiveNassau Life Insurance Company301406Agent - Health2/8/19893/31/1997
InactiveNassau Life Insurance Company301406Agent - Life2/8/19893/31/1997
ActiveNational Guardian Life Insurance Company300596Agent - Health6/24/2019 
InactiveNational Health Insurance Company300554Agent - Health6/21/19955/28/1996
InactiveNational Health Insurance Company300554Agent - Life6/21/19955/28/1996
ActiveNippon Life Insurance Company of America300446Agent - Health4/18/2017 
ActiveNippon Life Insurance Company of America300446Agent - Life4/18/2017 
InactivePaul Revere Life Insurance Company300971Agent - Health10/4/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life10/4/199912/11/2002
InactivePhiladelphia American Life Insurance Company300178Agent - Health4/6/19943/31/1997
InactivePhiladelphia American Life Insurance Company300178Agent - Life4/6/19943/31/1997
ActivePrincipal Life Insurance Company300129Agent - Health3/13/2012 
ActivePrincipal Life Insurance Company300129Agent - Life3/13/2012 
ActivePrincipal National Life Insurance Company301926Agent - Life7/11/2013 
InactiveProtective Life Insurance Company300638Agent - Health1/1/200711/23/2009
InactiveProtective Life Insurance Company300638Agent - Life1/1/200711/23/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/2/20069/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/2/20069/9/2015
InactiveReassure America Life Insurance Company301902Agent - Health6/23/19999/20/2004
InactiveReassure America Life Insurance Company301902Agent - Life6/23/19999/20/2004
InactiveReliaStar Life Insurance Company301712Agent - Health1/23/200312/4/2004
InactiveReliaStar Life Insurance Company301712Agent - Life1/23/200312/4/2004
ActiveReliance Standard Life Insurance Company300584Agent - Health1/16/2015 
ActiveReliance Standard Life Insurance Company300584Agent - Life1/16/2015 
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health3/9/199310/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life3/9/199310/1/2003
InactiveStandard Insurance Company300185Agent - Health3/24/20042/23/2008
InactiveStandard Insurance Company300185Agent - Life3/24/20042/23/2008
InactiveState Life Insurance Company301497Agent - Health7/10/20039/22/2008
InactiveState Life Insurance Company301497Agent - Life7/10/20039/22/2008
InactiveSun Life Assurance Company of Canada301811Agent - Health9/17/20048/28/2015
InactiveSun Life Assurance Company of Canada301811Agent - Life9/17/20048/28/2015
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health7/25/20088/28/2015
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life7/25/20088/28/2015
ActiveSuperior Dental Care Inc.300418Agent - Health5/12/2016 
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life10/1/2020 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/24/199610/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/24/199610/1/2020
InactiveU.S. Financial Life Insurance Company301812Agent - Health6/28/19958/12/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/28/199511/15/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health2/12/20099/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life2/12/20099/9/2015
InactiveUnion Security Insurance Company301844Agent - Health11/29/19952/23/2008
InactiveUnion Security Insurance Company301844Agent - Life11/29/19952/23/2008
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health7/6/20012/23/2008
ActiveUnited Concordia Dental Plans, Inc.919872Agent - Health1/1/2018 
ActiveUnited Concordia Insurance Company903543Agent - Health1/1/2018 
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health7/6/20012/23/2008
ActiveUnited of Omaha Life Insurance Company300156Agent - Health8/11/2009 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life8/11/2009 
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/16/200312/14/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/16/200312/14/2009
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health5/22/199712/6/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life5/22/199712/6/1999
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/16/200312/14/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/16/200312/14/2009
InactiveWest Coast Life Insurance Company301607Agent - Life5/14/200911/16/2011
InactiveWoodmen Accident and Life Company300147Agent - Health6/11/19969/2/1997
InactiveWoodmen Accident and Life Company300147Agent - Life6/11/19969/2/1997
Inactive300277Agent - Health3/5/19971/1/2007
Inactive300277Agent - Life3/5/19971/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAssuredpartners Nl, Llc762387Agent - Life1/29/2018 
ActiveAssuredpartners Nl, Llc762387Agent - Health1/29/2018 
ActiveDental Choice Agency Inc.398085Agent - Health7/30/2009 
ActiveDesignated Agent Company Inc.681257Agent - Life12/12/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/12/2013 
InactiveHartfield Louisville, LLC659359Agent - Life7/11/20073/31/2019
InactiveHartfield Louisville, LLC659359Agent - Health7/11/20073/31/2019
InactiveWillis of Louisville, Inc.401313Agent - Life7/6/19897/3/2007
InactiveWillis of Louisville, Inc.401313Agent - Health7/6/19897/3/2007

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