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DEPARTMENT OF INSURANCE
Affiliations
Name
Michaelides, Gale M
DOIID
705237
NAIC NPN
5691443
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/7/2009
5/31/2016
Inactive
Non Resident
Agent
Health
5/7/2009
5/31/2016
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
7/21/2011
5/31/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Health
5/14/2012
5/31/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Life
5/14/2012
5/31/2016
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/2/2012
9/3/2013
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
7/2/2012
9/3/2013
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
11/18/2015
3/19/2016
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
11/18/2015
3/19/2016
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
7/12/2012
9/3/2013
Inactive
Humana Insurance Company
301104
Agent - Health
7/12/2012
9/3/2013
Inactive
Humana Insurance Company
301104
Agent - Life
7/12/2012
9/3/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
7/2/2012
9/3/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
7/2/2012
9/3/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
7/12/2012
9/3/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
7/12/2012
9/3/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/1/2012
7/1/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/1/2012
7/1/2014
Inactive
National Western Life Insurance Company
301515
Agent - Life
1/13/2013
3/28/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/3/2013
4/8/2014
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
9/3/2013
4/8/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Broad Street Brokerage Insurance Agency, LLC
540067
Agent - Health
11/15/2010
5/31/2016
Inactive
Broad Street Brokerage Insurance Agency, LLC
540067
Agent - Life
11/15/2010
5/31/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/12/2013
4/18/2014
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/12/2013
4/18/2014
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