DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Michelini, William Daniel	DOIID	678602	NAIC NPN	7663356

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/12/2024		12/31/2025
Active	Non Resident	Agent	Life	3/12/2024		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/15/2008	12/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/15/2008	12/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/15/2008	12/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/15/2008	12/31/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/15/2008	12/31/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/15/2008	12/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure West Insurance Services, LLC	1246860	Agent - Life
Pending	Acrisure West Insurance Services, LLC	1246860	Agent - Health
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/7/2008	12/31/2009