DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Michael T	DOIID	753638	NAIC NPN	16191685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/10/2017		3/31/2027
Active	Non Resident	Agent	Health	4/10/2017		3/31/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/2/2011	3/31/2017
* 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	01/15/2025	03/31/2025	02/05/2025	02/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	4/26/2017	8/11/2021
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	2/10/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/29/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	Humana Insurance Company	301104	Agent - Health	9/7/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/7/2018	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/7/2018	5/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/7/2018	5/9/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	1/9/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/18/2020
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	5/6/2017	8/8/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	10/23/2020	9/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/4/2019	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019