DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gagne, Michael Eugene	DOIID	875594	NAIC NPN	15883188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/21/2015		8/31/2024
Active	Non Resident	Agent	Life	4/21/2015		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/30/2015	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/30/2015	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/30/2015	5/4/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/6/2022	5/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/5/2015	12/1/2016
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/5/2015	5/4/2023