DEPARTMENT OF INSURANCE
Affiliations
NameMelhado, Michelle DOIID882895NAIC NPN16896468
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/10/2015 8/31/2025
ActiveNon ResidentAgentLife7/10/2015 8/31/2025
* 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
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/25/20227/23/2024
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/25/20227/23/2024
InactiveReliaStar Life Insurance Company301712Agent - Health9/10/201512/18/2020
InactiveReliaStar Life Insurance Company301712Agent - Life9/10/201512/18/2020
InactiveStarmount Life Insurance Company628031Agent - Health3/25/20227/23/2024
InactiveUNUM Life Insurance Company of America300817Agent - Health3/25/20227/23/2024
InactiveUNUM Life Insurance Company of America300817Agent - Life3/25/20227/23/2024
InactiveUnum Insurance Company301499Agent - Health3/25/20227/23/2024
InactiveUnum Insurance Company301499Agent - Life3/25/20227/23/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCustom Benefit Programs Inc630774Agent - Life1/18/20243/22/2024
InactiveCustom Benefit Programs Inc630774Agent - Health1/18/20243/22/2024

© Commonwealth of Kentucky. All rights reserved.