PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMccormick, Michele DOIID892568NAIC NPN3543412
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/23/20155/31/2021 
InactiveNon ResidentAgentLife9/23/20155/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/3/20157/29/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/3/20157/29/2021
InactiveUNUM Life Insurance Company of America300817Agent - Health12/3/20157/29/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life12/3/20157/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMercer Health & Benefits Administration LLC656414Agent - Health1/28/20195/31/2021
InactiveMercer Health & Benefits Administration LLC656414Agent - Life1/28/20195/31/2021

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