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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	05/28/2025	05/28/2025	Yes

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