DEPARTMENT OF INSURANCE
Affiliations
NameEllison, Michael BDOIID663049NAIC NPN6900667
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/28/2019 9/30/2025
ActiveNon ResidentAgentHealth6/28/2019 9/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life12/19/20122/17/2014
ActiveAmerican General Life Insurance Company301585Agent - Health6/5/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life6/5/2023 
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health7/1/2019 
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life7/1/2019 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/17/202112/20/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/20/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/202112/20/2022
InactiveAnthem Life Insurance Company301209Agent - Health2/17/20213/5/2021
InactiveAnthem Life Insurance Company301209Agent - Life2/17/20213/5/2021
InactiveAssurity Life Insurance Company301099Agent - Health2/5/201412/8/2014
InactiveAssurity Life Insurance Company301099Agent - Life2/5/201412/8/2014
ActiveBanner Life Insurance Company301696Agent - Life8/17/2023 
DeniedColumbus Life Insurance Company301227Agent - Life  
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/202112/20/2022
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/5/2022 
InactiveGerber Life Insurance Company300529Agent - Health10/30/20134/8/2019
InactiveGerber Life Insurance Company300529Agent - Life10/30/20134/8/2019
ActiveIndependent Order of Foresters300743Agent - Health12/6/2022 
ActiveIndependent Order of Foresters300743Agent - Life12/6/2022 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/13/2021 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/13/2021 
ActiveLafayette Life Insurance Company (The)301039Agent - Health7/1/2019 
ActiveLafayette Life Insurance Company (The)301039Agent - Life7/1/2019 
ActiveLife Insurance Company of the Southwest301867Agent - Health9/26/2019 
ActiveLife Insurance Company of the Southwest301867Agent - Life9/26/2019 
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Life8/16/201912/31/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health11/20/201210/22/2013
ActivePan-American Life Insurance Company301530Agent - Life12/31/2022 
InactiveReserve National Insurance Company301073Agent - Health6/10/20132/23/2017
InactiveReserve National Insurance Company301073Agent - Life6/10/20132/23/2017
ActiveSecurity Benefit Life Insurance Company300583Agent - Health3/24/2022 
ActiveSecurity Benefit Life Insurance Company300583Agent - Life3/3/2022 
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life8/11/2021 
ActiveTransamerica Life Insurance Company300571Agent - Health1/17/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life1/17/2020 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/20/201210/22/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/20/201210/22/2013
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/1/202112/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/1/202112/30/2021
ActiveWestern-Southern Life Assurance Company301590Agent - Life2/17/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveQuility Affinity Insurance Services LLC1097623Agent - Life9/11/2020 
ActiveQuility Affinity Insurance Services LLC1097623Agent - Health9/11/2020 
ActiveQuility Insurance Holdings LLC1113500Agent - Life12/11/2020 
ActiveQuility Insurance Holdings LLC1113500Agent - Health12/11/2020 
ActiveSymmetry Financial Group LLC720877Agent - Life1/21/2020 
ActiveSymmetry Financial Group LLC720877Agent - Health1/21/2020 

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