DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Santangelo, Michael Adam	DOIID	713831	NAIC NPN	14012520

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/14/2010	4/30/2017
Inactive	Non Resident	Agent	Health	12/14/2010	4/30/2017
* 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	12/4/2014	8/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/4/2014	8/26/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/4/2014	8/26/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/1/2013	4/8/2015
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/7/2009	7/12/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/1/2013	4/8/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/1/2013	4/8/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/22/2014	8/26/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	12/22/2014	8/26/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/16/2016	4/30/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/16/2016	4/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/30/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/30/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/30/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/30/2013	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
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/21/2013	7/23/2014
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/21/2013	7/23/2014