DEPARTMENT OF INSURANCE

Affiliations

Name	Longworth, Michael David	DOIID	1078903	NAIC NPN	19447892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/20/2020		2/29/2028
* 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	12/15/2025	02/28/2026	02/15/2026	02/15/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	2/9/2024	5/20/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/2/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/13/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/2/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/23/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/23/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/10/2023	12/12/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/2/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/23/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/13/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/15/2020	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/2020	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/12/2023	12/12/2024
Active	Insurance Company of North America	300226	Agent - Health	2/26/2026
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/19/2026
Active	SilverScript Insurance Company	663526	Agent - Health	4/2/2020
Active	Tier One Insurance Company	301056	Agent - Health	2/13/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/2/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/3/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/3/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/2/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/1/2020	6/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/1/2020	6/1/2023

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 - Health	4/1/2020	2/10/2025
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	4/1/2020	2/4/2026