DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, Michael	DOIID	810304	NAIC NPN	16876455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/16/2013	2/28/2025
Active	Non Resident	Agent	Health	5/16/2013	2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	1/24/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	3/29/2017	1/14/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	3/29/2017	1/14/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/25/2014	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/25/2014	7/24/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	2/25/2020	12/1/2020
Active	CareSource Kentucky Co.	838179	Agent - Health	10/21/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/10/2013	2/14/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/10/2013	2/14/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/27/2017	3/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/27/2017	3/2/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	9/30/2015	6/12/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2013	2/14/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/30/2014	2/14/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/30/2014	2/14/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/10/2013	2/14/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/10/2013	2/14/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/10/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/10/2013	10/22/2015
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/8/2021	9/11/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	4/4/2017	12/12/2017
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/11/2021

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	11/25/2014	7/24/2024
Active	Designated Agent Company Inc.	681257	Agent - Health	11/25/2014
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/11/2020	4/22/2022