DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vangavree, Michael S	DOIID	743192	NAIC NPN	5119656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/24/2010		6/30/2026
Active	Non Resident	Agent	Life	11/24/2010		6/30/2026
* 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	04/15/2024	06/30/2024	04/16/2024	04/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	10/20/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/20/2020
Active	All Savers Insurance Company	301940	Agent - Health	8/9/2023
Active	All Savers Insurance Company	301940	Agent - Life	8/9/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	10/20/2020	8/11/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/20/2020
Active	Pan-American Life Insurance Company	301530	Agent - Health	10/9/2020
Active	Pan-American Life Insurance Company	301530	Agent - Life	10/9/2020
Active	Protective Life Insurance Company	300638	Agent - Health	8/1/2011
Active	Protective Life Insurance Company	300638	Agent - Life	8/1/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/28/2015	2/1/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	8/9/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/9/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinityltc LLC	764372	Agent - Life	9/22/2011	1/11/2017
Inactive	Affinityltc LLC	764372	Agent - Health	9/22/2011	1/11/2017