DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Michael D	DOIID	510455	NAIC NPN	4841067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2000		11/30/2028
Active	Non Resident	Agent	Life	6/22/2000		11/30/2028
* 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	09/15/2026	11/30/2026	09/09/2026	09/09/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/22/2000	12/8/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/22/2000	12/8/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/27/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/27/2012	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/27/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/27/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/27/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/27/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/27/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/27/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/27/2012	9/3/2013
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	3/12/2019
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	3/12/2019
Inactive	Union Security Insurance Company	301844	Agent - Health	9/28/2015	12/15/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	9/28/2015	12/15/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/2019	1/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/14/2019	1/30/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/14/2019	1/30/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/14/2019	1/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Digital Insurance LLC	521672	Agent - Life	10/12/2026
Active	Digital Insurance LLC	521672	Agent - Health	10/12/2026