DEPARTMENT OF INSURANCE

Affiliations

Name	Connellan, Michael	DOIID	390957	NAIC NPN	1487981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/13/2013	10/31/2026
Active	Non Resident	Agent	Life	1/13/2013	10/31/2026
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/25/2009	10/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/25/2009	10/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/25/2009	10/31/2012
Inactive	All Savers Insurance Company	301940	Agent - Health	12/13/2016	12/31/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	12/13/2016	12/31/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/14/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	6/14/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/28/2016	10/11/2019
Inactive	Columbus Life Insurance Company	301227	Agent - Health	11/29/1994	4/14/2003
Inactive	Columbus Life Insurance Company	301227	Agent - Life	11/29/1994	12/26/2001
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/29/2010	10/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/29/2010	10/31/2012
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/4/2016	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/24/2013	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/24/2013	12/14/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/7/2019	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/7/2019	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	6/10/2013	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/7/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/7/2019	4/8/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/7/2019	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/7/2019	4/8/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/29/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/29/2010	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/18/1996	4/3/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/18/1996	4/3/2000
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/10/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/10/2013	10/22/2015
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	2/12/2018
Active	National Health Insurance Company	300554	Agent - Health	12/5/2019
Active	National Health Insurance Company	300554	Agent - Life	12/5/2019
Active	Protective Life Insurance Company	300638	Agent - Health	3/17/2024
Active	Protective Life Insurance Company	300638	Agent - Life	3/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/5/2016	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/5/2016	12/17/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/5/2016	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/30/2022	12/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	CBISA Reaquisitian Corp	547026	Agent - Life	6/25/2013
Active	CBISA Reaquisitian Corp	547026	Agent - Health	6/25/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013