DEPARTMENT OF INSURANCE

Affiliations

Name	Grant, Michelle Maria	DOIID	970811	NAIC NPN	17796961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/22/2023	8/31/2026
Active	Non Resident	Agent	Life	11/22/2023	8/31/2026
* 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	06/15/2026	08/31/2026

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	11/30/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	11/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Life	11/30/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	8/21/2024	10/9/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	8/21/2024	10/9/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/26/2018	8/31/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/13/2019	8/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/12/2019	8/31/2020
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/24/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/26/2018	8/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/24/2018	8/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2018	8/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/26/2018	8/31/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/17/2018	8/31/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2018	8/31/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/26/2018	8/31/2020
Active	SilverScript Insurance Company	663526	Agent - Health	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/4/2017	5/17/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/4/2017	5/17/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/4/2017	5/17/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	8/31/2020