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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2026	10/31/2026

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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/14/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/14/2017	4/15/2025
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
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/17/2024	11/23/2025
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/17/2024	11/23/2025
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