DEPARTMENT OF INSURANCE

Affiliations

Name	Tobin, Michael P	DOIID	946133	NAIC NPN	18296173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/1/2017	6/30/2026
Active	Non Resident	Agent	Life	3/1/2017	6/30/2026
* 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	04/15/2024	06/30/2024	05/02/2024	05/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	11/16/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/24/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/24/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/24/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/24/2017	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/29/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/23/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	12/23/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	12/23/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/18/2021	1/20/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/24/2017
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	GCU	962873	Agent - Health	2/27/2019	12/11/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/5/2021	1/20/2022
Inactive	Independent Life Insurance Company	301831	Agent - Health	2/13/2018	6/21/2021
Inactive	Independent Life Insurance Company	301831	Agent - Life	2/13/2018	6/21/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	1/9/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/10/2017
Active	National Health Insurance Company	300554	Agent - Health	8/4/2023
Active	National Health Insurance Company	300554	Agent - Life	8/4/2023
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	4/28/2017	8/8/2022
Active	SilverScript Insurance Company	663526	Agent - Health	12/24/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/7/2018	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	7/29/2019	11/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	6/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/13/2020	5/6/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/13/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/13/2020	5/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019