DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortin, Michelle Anne	DOIID	1060890	NAIC NPN	19306711

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/14/2019	3/31/2021
Inactive	Non Resident	Agent	Life	10/14/2019	3/31/2021
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2020	3/11/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/19/2020	3/11/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/19/2020	3/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/3/2020	1/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/3/2020	1/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2020	1/30/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2019	8/6/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2019	8/6/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/19/2020	3/11/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/12/2020	3/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/12/2020	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	11/2/2020	3/31/2021