DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dortch, Michelle Lynn	DOIID	620855	NAIC NPN	1571676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/20/2015		11/30/2026
Active	Non Resident	Agent	Life	5/20/2015		11/30/2026
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/17/2015	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/17/2015	11/2/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2008	5/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2008	5/31/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2008	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/2/2008	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/2/2008	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/2/2008	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/2/2008	5/31/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	8/27/2015	2/22/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	8/27/2015	2/22/2021

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	6/17/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/17/2015	11/2/2016
Denied	FBD Consulting Inc	689652	Life & Health Consultant - Not Applicable
Inactive	Medlink Inc	400721	Agent - Health	11/1/2010	5/31/2012
Inactive	Medlink Inc	400721	Agent - Life	11/1/2010	5/31/2012