DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Block, Michael Alfred	DOIID	703199	NAIC NPN	13237985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2013		12/31/2025
Active	Non Resident	Agent	Life	10/4/2013		12/31/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/7/2009	12/1/2011
* 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
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2017
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/8/2013	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/19/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2013
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/4/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2013
Active	Humana Insurance Company	301104	Agent - Health	10/8/2013
Active	Humana Insurance Company	301104	Agent - Life	10/8/2013
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2013
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	10/8/2013
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/8/2013	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Life	4/6/2015
Active	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015