DEPARTMENT OF INSURANCE

Affiliations

Name	Corum, Michelle	DOIID	820578	NAIC NPN	16970009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/13/2013	8/31/2026
Active	Non Resident	Agent	Life	9/13/2013	8/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/15/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/15/2013	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/7/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/7/2013	12/5/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/12/2018	4/29/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2018	4/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/9/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/9/2018	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/9/2018	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/7/2013	12/5/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/12/2018	4/29/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2018	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/7/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/7/2013	12/5/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/13/2013	6/2/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/13/2013	6/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/11/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/11/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/11/2013	12/1/2016

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	11/15/2013	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	11/15/2013