DEPARTMENT OF INSURANCE

Affiliations

Name	Quemp, Michael Sean	DOIID	965986	NAIC NPN	10531035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/6/2024		2/28/2027
Inactive	Non Resident	Agent	Life	8/31/2017	2/28/2023
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/18/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/16/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/16/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/13/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/15/2018	11/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/13/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/13/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	1/21/2021	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	7/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	4/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/14/2020	4/28/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/20/2019	2/28/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	11/16/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	11/16/2022
Active	Elips Life Insurance Company	301087	Agent - Health	3/18/2024
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	4/17/2019	12/29/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/10/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/10/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/10/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/10/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/10/2018	12/10/2018
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/9/2018	12/29/2018
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	6/11/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	9/5/2017	8/8/2018
Active	SilverScript Insurance Company	663526	Agent - Health	3/13/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	5/2/2018	12/29/2021

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	3/17/2020	4/29/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/17/2020	4/29/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/12/2018	12/10/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	6/12/2021