DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hormann, Michelle Christine	DOIID	840405	NAIC NPN	17263831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/26/2018	9/1/2022
Inactive	Resident	Agent	Health	3/26/2018	9/1/2022
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/13/2014	9/25/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/13/2014	9/25/2014
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	5/9/2018	9/1/2022
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/9/2018	9/1/2022
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/30/2014	10/23/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/30/2014	10/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sterling Thompson Company	935239	Agent - Life	5/9/2018	3/23/2021
Inactive	Sterling Thompson Company	935239	Agent - Health	5/9/2018	3/23/2021