DEPARTMENT OF INSURANCE

Affiliations

Name	Pelton-Bennett, Michele Andrea	DOIID	1235378	NAIC NPN	2547772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2022	8/31/2026
Active	Non Resident	Agent	Life	10/7/2022	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
Inactive	Accendo Insurance Company	300312	Agent - Health	2/3/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	2/3/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/13/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/3/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/13/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/13/2022
Active	American General Life Insurance Company	301585	Agent - Health	2/5/2025
Active	American General Life Insurance Company	301585	Agent - Life	2/5/2025
Active	American Memorial Life Insurance Company	301445	Agent - Life	11/18/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/10/2023	12/11/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/3/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/3/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/5/2022	4/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/13/2022
Active	The American Home Life Insurance Company	563717	Agent - Life	4/8/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/25/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/23/2022	5/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/23/2022	5/22/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024