DEPARTMENT OF INSURANCE
Affiliations
NameKoltes, Michael LeoDOIID823138NAIC NPN17058940
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth11/14/2022 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health7/1/20155/31/2019
InactiveAetna Health and Life Insurance Company300523Agent - Health10/11/20167/24/2019
InactiveAetna Life Insurance Company301140Agent - Health7/1/20155/31/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/22/20139/8/2016
InactiveCareSource Kentucky Co.838179Agent - Health11/23/20221/20/2023
InactiveFirst Health Life & Health Insurance Company301735Agent - Health7/1/20155/31/2019
InactiveWellpoint Life and Health Insurance Company300469Agent - Health1/11/20149/1/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/22/20139/8/2016

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