DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marcilliat, Michelle Suzette	DOIID	735452	NAIC NPN	15914645

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/4/2010		7/31/2025
Active	Resident	Agent	Life	10/4/2010		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/22/2010	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/22/2010	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alium LLC	1052837	Agent - Health	10/11/2024
Active	Alium LLC	1052837	Agent - Life	10/11/2024
Inactive	Insuramax LLC	400061	Agent - Health	5/5/2021	1/23/2025
Inactive	Insuramax LLC	400061	Agent - Life	5/5/2021	1/23/2025
Inactive	The Underwriters Group, Inc	674720	Agent - Health	10/22/2010	4/13/2021
Inactive	The Underwriters Group, Inc	674720	Agent - Life	10/22/2010	4/13/2021