DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fellouzis, Emmanuel Michael	DOIID	945544	NAIC NPN	18316216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/22/2017		6/30/2025
Active	Non Resident	Agent	Life	2/22/2017		6/30/2025
* 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
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/8/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/12/2017	6/8/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/17/2020	11/21/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/17/2020	11/21/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/12/2017
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/12/2017	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	5/12/2017
Active	Humana Insurance Company	301104	Agent - Life	5/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/12/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/12/2017	6/8/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/3/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/2/2023	9/13/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/9/2020	12/29/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	12/9/2020	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/22/2022	5/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/22/2022	5/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Life	5/12/2017
Active	Trubridge Inc	717747	Agent - Health	5/12/2017