DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Michael Edward	DOIID	662338	NAIC NPN	8725171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/23/2007	4/30/2026
Active	Non Resident	Agent	Health	8/23/2007	4/30/2026
Active	Non Resident	Agent	Variable Life and Variable Annuities	8/23/2007	4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	1/27/2010	10/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/27/2010	10/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/27/2010	10/26/2016
Inactive	American National Insurance Company	301861	Agent - Health	12/5/2008	6/10/2021
Inactive	American National Insurance Company	301861	Agent - Life	12/5/2008	6/10/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Brighthouse Life Insurance Company	301829	Agent - Health	7/31/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Life	7/31/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	7/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/20/2013	7/10/2013
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/20/2013	7/10/2013
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	3/26/2015	12/29/2016
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	3/26/2015	5/7/2019
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/22/2022	3/22/2023
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	11/6/2023
Inactive	General American Life Insurance Company	300280	Agent - Health	8/27/2007	12/21/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	8/27/2007	12/21/2009
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	8/27/2007	12/21/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2013	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2013	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/9/2010	9/22/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2011	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/1/2011	12/3/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/10/2014	4/12/2021
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	9/10/2014	4/12/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/20/2013	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/20/2013	7/10/2013
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/14/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/14/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	1/14/2019
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	1/25/2017	7/8/2021
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/27/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/27/2007	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/27/2007	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	8/27/2007	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/27/2007	7/12/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Life	10/6/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	10/6/2021
Active	New England Life Insurance Company	300343	Agent - Health	8/27/2007
Active	New England Life Insurance Company	300343	Agent - Life	8/27/2007
Active	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	8/27/2007
Inactive	Principal National Life Insurance Company	301926	Agent - Life	6/9/2015	11/22/2022
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/28/2015	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/28/2015	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	5/28/2015	11/23/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/5/2008	10/5/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/5/2008	10/5/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	12/5/2008	10/5/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/17/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/17/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/17/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/17/2010	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBISA Reaquisitian Corp	547026	Agent - Life	6/29/2010
Active	CBISA Reaquisitian Corp	547026	Agent - Health	6/29/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/17/2025
Active	LPL FINANCIAL LLC	399327	Agent - Life	7/15/2021
Active	LPL FINANCIAL LLC	399327	Agent - Health	7/15/2021
Active	LPL FINANCIAL LLC	399327	Agent - Variable Life and Variable Annuities	7/15/2021
Inactive	MML Insurance Agency LLC	398679	Agent - Life	4/4/2017	8/11/2021
Inactive	MML Insurance Agency LLC	398679	Agent - Health	4/4/2017	8/11/2021
Inactive	MML Insurance Agency LLC	398679	Agent - Variable Life and Variable Annuities	4/4/2017	8/11/2021