DEPARTMENT OF INSURANCE

Affiliations

Name	Otis, Michael Alan	DOIID	792081	NAIC NPN	3102676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/20/2022	10/31/2025
Active	Non Resident	Agent	Health	9/20/2022	10/31/2025
* 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	08/15/2025	10/31/2025

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	6/6/2017	10/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/6/2017	10/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/6/2017	10/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/9/2019	1/7/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/9/2019	1/7/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/7/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/7/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/7/2017	10/20/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/2/2020	1/7/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/6/2017	10/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/1/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/1/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/1/2017	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/1/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/1/2017	12/8/2017
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/18/2014	6/12/2014
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/18/2014	6/12/2014
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/18/2014	6/12/2014
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/18/2014	6/12/2014
Active	Symetra Life Insurance Company	301691	Agent - Health	9/22/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	9/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/7/2017	10/19/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/7/2017	10/19/2018