PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameLong, Michelle MarieDOIID360716NAIC NPN738568
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines5/4/19933/31/1996 
InactiveResidentAgentHealth11/12/200410/31/2005 
InactiveResidentAgentHealth Maintenance Organization12/10/19963/1/2001 
InactiveResidentAgentLife11/12/200410/31/2005 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health1/31/199611/20/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/31/199611/20/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/28/199711/12/1999
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/28/199711/12/1999
InactiveAmeritas Life Insurance Corporation300126Agent - Health11/21/199711/20/2003
InactiveAmeritas Life Insurance Corporation300126Agent - Life11/21/199711/20/2003
InactiveAmeritas Variable Life Insurance Company300665Agent - Health10/28/199711/20/2003
InactiveAmeritas Variable Life Insurance Company300665Agent - Life10/28/199711/20/2003
InactiveAnthem Life Insurance Company301209Agent - Health4/28/199511/20/2003
InactiveAnthem Life Insurance Company301209Agent - Life4/28/199511/20/2003
InactiveAssurance Company of America300432Agent - General Lines5/4/19933/31/1996
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/19/19924/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life5/19/19924/9/2003
InactiveColonial Life and Accident Insurance Company300846Agent - Health3/13/199811/20/2003
InactiveColonial Life and Accident Insurance Company300846Agent - Life3/13/199811/20/2003
InactiveContinental Casualty Company301019Agent - Health8/10/199811/20/2003
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/14/200111/20/2003
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/14/200111/20/2003
InactiveGolden Rule Insurance Company301943Agent - Health4/7/199511/5/1998
InactiveGolden Rule Insurance Company301943Agent - Life4/7/199511/5/1998
InactiveGuarantee Life Insurance Company301560Agent - Health8/12/19994/17/2000
InactiveGuarantee Life Insurance Company301560Agent - Life8/12/19994/17/2000
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200111/20/2003
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization1/10/19973/1/2001
InactiveHumana Insurance Company301104Agent - Health3/20/199511/20/2003
InactiveHumana Insurance Company301104Agent - Life3/20/199511/20/2003
InactiveJackson National Life Insurance Company300486Agent - Life3/9/200510/31/2005
InactiveLifeUSA Insurance Company300386Agent - Health1/31/19968/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life1/31/19968/2/2002
InactiveLincoln Benefit Life Company301110Agent - Life12/12/199711/20/2003
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/15/199511/20/2003
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/15/199511/20/2003
InactiveMaryland Casualty Company301719Agent - General Lines5/4/19933/31/1996
InactiveNorthern Insurance Company of New York301317Agent - General Lines5/4/19933/31/1996
InactivePacifiCare Life Assurance Company301082Agent - Health6/19/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/19/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization12/10/19963/1/2001
InactivePacific Life Insurance Company301848Agent - Health10/30/199711/20/2003
InactivePacific Life Insurance Company301848Agent - Life10/30/19975/27/2003
InactivePaul Revere Life Insurance Company300971Agent - Health9/11/19968/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life9/11/19968/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/15/199710/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/15/199710/24/2003
DeniedReassure America Life Insurance Company301902Agent - Health  
DeniedReassure America Life Insurance Company301902Agent - Life  
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health9/7/19951/24/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life9/7/199511/19/2002
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/25/200111/20/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/25/200111/20/2003
InactiveUnion Security Insurance Company301844Agent - Health3/24/199711/20/2003
InactiveUnion Security Insurance Company301844Agent - Life3/24/199711/20/2003
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health4/6/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life4/6/19953/31/1997
InactiveWest Coast Life Insurance Company301607Agent - Life12/23/200410/31/2005
Inactive300277Agent - Life2/9/200510/31/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life5/18/199511/20/2003
InactiveArison Insurance Services, Inc.401001Agent - Health5/18/199511/20/2003
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactivePlanchoice Inc.400482Agent - Life3/5/200311/20/2003
InactivePlanchoice Inc.400482Agent - Health3/5/200311/20/2003
InactiveUnited Planners Financial Services of America398106Agent - Life10/10/19972/18/2003
InactiveUnited Planners Financial Services of America398106Agent - Health10/10/19972/18/2003

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