DEPARTMENT OF INSURANCE

Affiliations

Name	Gilligan, Michael Shawn	DOIID	966722	NAIC NPN	17170936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/11/2019	6/30/2025
Active	Non Resident	Agent	Health	10/11/2019	6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/31/2019
Active	Aetna Life Insurance Company	301140	Agent - Health	10/31/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	10/31/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Health	11/3/2017	6/30/2019
Inactive	American Zurich Insurance Company	300592	Agent - Health	11/3/2017	6/30/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/10/2018	6/15/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/9/2018	6/30/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/9/2018	6/30/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/10/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/10/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/10/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/10/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/10/2018	6/15/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/25/2017	6/30/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/25/2017	6/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/25/2017	6/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/25/2017	6/30/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/22/2017	4/30/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/22/2017	4/30/2018
Inactive	Zurich American Insurance Company	301121	Agent - Health	11/3/2017	6/30/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Health	11/3/2017	6/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hylant Group, Inc.	523019	Agent - Health	11/8/2017	4/30/2018
Inactive	Hylant Group, Inc.	523019	Agent - Life	11/8/2017	4/30/2018