DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lafollette, Michelle D	DOIID	789042	NAIC NPN	16763012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/12/2017		6/30/2027
Active	Resident	Agent	Life	9/12/2017		6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/3/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/3/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/3/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/3/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2021	4/15/2025
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/10/2013	6/30/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/10/2013	6/30/2017
Inactive	Dental Care Plus Inc.	301495	Agent - Health	12/26/2013	6/30/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/15/2018	12/10/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/15/2018	12/10/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/10/2013	6/30/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/10/2013	6/30/2017
Active	Superior Dental Care Inc.	300418	Agent - Health	11/14/2018

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 - Life	4/20/2018	4/10/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/20/2018	4/10/2019
Inactive	Hartfield Louisville, LLC	659359	Agent - Life	12/10/2013	6/30/2017
Inactive	Hartfield Louisville, LLC	659359	Agent - Health	12/10/2013	6/30/2017