PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEllison, Michael BDOIID663049NAIC NPN6900667
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/28/2019 9/30/2025
ActiveNon ResidentAgentHealth6/28/2019 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life12/19/20122/17/2014
ActiveAmerican General Life Insurance Company301585Agent - Health6/5/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life6/5/2023 
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health7/1/2019 
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life7/1/2019 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/17/202112/20/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/20/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/202112/20/2022
InactiveAnthem Life Insurance Company301209Agent - Health2/17/20213/5/2021
InactiveAnthem Life Insurance Company301209Agent - Life2/17/20213/5/2021
InactiveAssurity Life Insurance Company301099Agent - Health2/5/201412/8/2014
InactiveAssurity Life Insurance Company301099Agent - Life2/5/201412/8/2014
ActiveBanner Life Insurance Company301696Agent - Life8/17/2023 
DeniedColumbus Life Insurance Company301227Agent - Life  
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/202112/20/2022
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/5/2022 
ActiveGerber Life Insurance Company300529Agent - Health7/8/2024 
ActiveGerber Life Insurance Company300529Agent - Life7/8/2024 
ActiveIndependent Order of Foresters300743Agent - Health12/6/2022 
ActiveIndependent Order of Foresters300743Agent - Life12/6/2022 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/13/2021 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/13/2021 
ActiveLafayette Life Insurance Company (The)301039Agent - Health7/1/2019 
ActiveLafayette Life Insurance Company (The)301039Agent - Life7/1/2019 
ActiveLife Insurance Company of the Southwest301867Agent - Health9/26/2019 
ActiveLife Insurance Company of the Southwest301867Agent - Life9/26/2019 
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Life8/16/201912/31/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health11/20/201210/22/2013
ActivePan-American Life Insurance Company301530Agent - Life12/31/2022 
InactiveReserve National Insurance Company301073Agent - Health6/10/20132/23/2017
InactiveReserve National Insurance Company301073Agent - Life6/10/20132/23/2017
ActiveSecurity Benefit Life Insurance Company300583Agent - Health3/24/2022 
ActiveSecurity Benefit Life Insurance Company300583Agent - Life3/3/2022 
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life8/11/2021 
ActiveTransamerica Life Insurance Company300571Agent - Health1/17/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life1/17/2020 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/20/201210/22/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/20/201210/22/2013
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/1/202112/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/1/202112/30/2021
InactiveWestern-Southern Life Assurance Company301590Agent - Life2/17/202211/19/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveQuility Affinity Insurance Services LLC1097623Agent - Life9/11/2020 
ActiveQuility Affinity Insurance Services LLC1097623Agent - Health9/11/2020 
ActiveQuility Insurance Holdings LLC1113500Agent - Life12/11/2020 
ActiveQuility Insurance Holdings LLC1113500Agent - Health12/11/2020 
ActiveSymmetry Financial Group LLC720877Agent - Life1/21/2020 
ActiveSymmetry Financial Group LLC720877Agent - Health1/21/2020 

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