DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelfrey, Michael	DOIID	802791	NAIC NPN	16881455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/7/2013	9/1/2017
Inactive	Resident	Agent	Life	2/7/2013	9/1/2017
* 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	American Heritage Life Insurance Company	300272	Agent - Health	2/27/2013	9/1/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/27/2013	9/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/28/2013	9/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/28/2013	9/1/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/25/2013	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/25/2013	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/25/2013	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/25/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/25/2013	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/14/2013	10/29/2015
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/22/2013	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/22/2013	11/23/2015

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 - Life	3/28/2013	9/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/28/2013	9/1/2017
Inactive	Medlink Inc	400721	Agent - Life	3/22/2013	9/1/2017
Inactive	Medlink Inc	400721	Agent - Health	3/22/2013	9/1/2017