DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Park Hill Shoppe Inc DBA : Baker Insurance Agency, Michael S Baker Marketing	DOIID	630289	NAIC NPN	16014083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	2/2/2010		3/31/2026
Active	Resident	Agent	Health	4/14/2006		3/31/2026
Active	Resident	Agent	Life	4/14/2006		3/31/2026
Active	Resident	Agent	Casualty	2/2/2010		3/31/2026
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/19/2007	7/25/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/19/2007	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/19/2007	7/25/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/19/2007	7/25/2013
Active	Continental American Insurance Company	301700	Agent - Health	1/25/2008
Active	Continental American Insurance Company	301700	Agent - Life	1/25/2008
Inactive	Humana Insurance Company	301104	Agent - Health	12/1/2011	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/1/2011	7/10/2013
Active	Life Insurance Company of North America	300711	Agent - Health	11/16/2010
Active	Life Insurance Company of North America	300711	Agent - Life	11/16/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baker, Kathleen F	648857	Agent - Health	5/5/2008	10/5/2021
Inactive	Baker, Kathleen F	648857	Agent - Life	5/5/2008	10/5/2021
Active	Baker, Michael Scott	542563	Agent - Casualty	2/2/2010
Active	Baker, Michael Scott	542563	Agent - Health	4/14/2006
Active	Baker, Michael Scott	542563	Agent - Life	4/14/2006
Active	Baker, Michael Scott	542563	Agent - Property	2/2/2010