DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mix, Michelle D	DOIID	1099223	NAIC NPN	19610056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/18/2020	10/21/2022
* 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	7/9/2021	10/21/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2021	10/21/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	6/14/2021	9/6/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/24/2020	8/2/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/24/2021	10/6/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	6/17/2021	10/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/15/2021	8/16/2022