DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	King, Michelle A	DOIID	900053	NAIC NPN	9964569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/23/2015	8/31/2018
Inactive	Non Resident	Agent	Life	7/24/2016	8/31/2018
Inactive	Non Resident	Agent	Health	7/24/2016	8/31/2018
Inactive	Non Resident	Agent	Casualty	11/23/2015	8/31/2018
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/12/2016	12/16/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/12/2016	12/16/2016
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/3/2015	6/20/2016
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/3/2015	6/20/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/3/2015	6/20/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/3/2015	6/20/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/2016	11/17/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	11/17/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/24/2016	11/17/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/24/2016	11/17/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/12/2016	12/16/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/12/2016	12/16/2016