DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lopez, Michael D	DOIID	1062670	NAIC NPN	19042968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/2/2026		5/31/2028
Active	Non Resident	Agent	Life	4/2/2026		5/31/2028
* 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	AXIS Insurance Company	301290	Agent - Health	12/18/2020	5/31/2022
Active	All Savers Insurance Company	301940	Agent - Health	5/1/2026
Active	All Savers Insurance Company	301940	Agent - Life	5/1/2026
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/23/2020	5/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/22/2021	5/31/2022
Inactive	Federal Insurance Company	301144	Agent - Health	11/11/2019	6/13/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/9/2020	6/2/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/10/2020	11/19/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/14/2020	5/31/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/13/2020	5/31/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/26/2019	5/31/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/1/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/1/2026
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/1/2026
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/1/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Health	5/1/2026
Active	Paychex Insurance Agency Inc	509469	Agent - Life	5/1/2026