DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Michael Darren	DOIID	880483	NAIC NPN	17619062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/19/2023	12/31/2026
Active	Resident	Agent	Life	1/19/2023	12/31/2026
* 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	10/15/2024	12/31/2024	10/18/2024	10/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/29/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/29/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/19/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/19/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/19/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/11/2023
Active	Assurity Life Insurance Company	301099	Agent - Health	2/19/2024
Active	Assurity Life Insurance Company	301099	Agent - Life	2/19/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/19/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	12/13/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/19/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/13/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/18/2020	10/4/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/18/2020	10/4/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/1/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/6/2022	1/1/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/18/2019	9/13/2022
Active	Humana Insurance Company	301104	Agent - Health	2/1/2023
Inactive	Humana Insurance Company	301104	Agent - Life	9/6/2019	9/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2022	1/1/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2022	1/1/2023
Inactive	Security National Life Insurance Company	569786	Agent - Life	2/7/2018	1/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/29/2023
Active	Symetra Life Insurance Company	301691	Agent - Health	3/15/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	3/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/1/2015	8/28/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/1/2015	8/28/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/1/2015	8/28/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/1/2015	8/28/2017
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/5/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/5/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/19/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/9/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/22/2019	1/1/2023