DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brachlow, Michael	DOIID	570003	NAIC NPN	1979125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/22/2003		12/31/2026
Active	Non Resident	Agent	Health	5/22/2003		12/31/2026
* 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	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/21/2005	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/21/2005	12/21/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/21/2005
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/21/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/13/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/13/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/22/2007	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Health	1/22/2007	11/15/2011
Inactive	Humana Insurance Company	301104	Agent - Life	1/22/2007	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/22/2007	11/15/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/22/2007	11/15/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	11/15/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	11/15/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/23/2006	4/22/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/23/2006	7/17/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/8/2005	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/28/2011	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Health	9/9/2024
Active	Centerstone Insurance And Financial Services, LLC	595009	Agent - Life	9/9/2024
Inactive	Weston Group Benefits, LLC	618351	Agent - Health	11/15/2005	3/31/2009
Inactive	Weston Group Benefits, LLC	618351	Agent - Life	11/15/2005	3/31/2009