DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrill, Michelle	DOIID	659016	NAIC NPN	7563116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/16/2007	12/31/2012
Inactive	Non Resident	Agent	Life	7/16/2007	12/31/2012
* 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	Baptist Health Plan, Inc.	300157	Agent - Health	2/28/2008	12/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/31/2008	12/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/31/2008	12/31/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/31/2008	12/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/31/2008	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	2/28/2008	12/21/2011
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	2/28/2008	12/21/2011