DEPARTMENT OF INSURANCE
Affiliations
NameEvancevich, Michael DOIID813771NAIC NPN8353778
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentProperty12/16/2020 5/31/2025
Pending ReplacementNon ResidentAgentLife7/24/2024 5/31/2025
Pending ReplacementNon ResidentAgentCasualty12/16/2020 5/31/2025
Pending ReplacementNon ResidentAgentHealth8/1/2019 5/31/2025
* 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
Agent03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
Pending ReplacementAccendo Insurance Company300312Agent - Life7/30/2024 
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health10/14/2021 
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Health7/30/2024 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health10/14/2021 
Pending ReplacementAetna Life Insurance Company301140Agent - Health10/14/2021 
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/25/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/3/20225/29/2023
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health7/25/2024 
InactiveBristol West Insurance Company301655Agent - Casualty6/5/20186/29/2018
InactiveBristol West Insurance Company301655Agent - Property6/5/20186/29/2018
InactiveCMFG Life Insurance Company300929Agent - Health3/1/20254/16/2025
InactiveCMFG Life Insurance Company300929Agent - Life3/1/20254/16/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/6/20244/21/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health7/16/20134/16/2014
Pending ReplacementCompcare Health Services Insurance Corporation948751Agent - Health7/25/2024 
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/30/2024 
Pending ReplacementContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/30/2024 
InactiveDental Concern Inc. (The)301641Agent - Health7/16/20134/16/2014
Pending ReplacementDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/7/2024 
InactiveElips Life Insurance Company301087Agent - Health4/18/20215/4/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/8/20186/29/2018
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/8/20186/29/2018
InactiveGarrison Property and Casualty Insurance Company301957Agent - Casualty7/24/20219/7/2021
InactiveGarrison Property and Casualty Insurance Company301957Agent - Property7/24/20219/7/2021
InactiveGlobe Life and Accident Insurance Company300639Agent - Health9/21/20202/23/2021
InactiveGrange Indemnity Insurance Company300793Agent - Casualty6/13/20183/11/2019
InactiveGrange Indemnity Insurance Company300793Agent - Property6/13/20183/11/2019
InactiveGrange Insurance Company300234Agent - Casualty6/13/20183/11/2019
InactiveGrange Insurance Company300234Agent - Property6/13/20183/11/2019
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty6/13/20183/11/2019
InactiveGrange Property & Casualty Insurance Company601680Agent - Property6/13/20183/11/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/30/202211/1/2022
InactiveHumana Health Plan, Inc.300142Agent - Health7/16/20134/16/2014
InactiveHumana Insurance Company301104Agent - Health7/16/20134/16/2014
InactiveHumana Insurance Company301104Agent - Life7/16/20134/16/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/16/20134/16/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/16/20134/16/2014
InactiveKanawha Insurance Company300127Agent - Health7/16/20134/16/2014
InactiveKanawha Insurance Company300127Agent - Life7/16/20134/16/2014
InactiveLumico Life Insurance Company300354Agent - Health4/18/20211/9/2023
Pending ReplacementMolina Healthcare of Kentucky, Inc.1035856Agent - Health2/5/2024 
InactiveQBE Insurance Corporation300515Agent - Casualty6/7/20186/21/2018
InactiveQBE Insurance Corporation300515Agent - Property6/7/20186/21/2018
InactiveSAFECO Insurance Company of America300159Agent - Casualty6/5/20186/26/2018
InactiveSAFECO Insurance Company of America300159Agent - Property6/5/20186/26/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/5/20186/26/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/5/20186/26/2018
Pending ReplacementSilverScript Insurance Company663526Agent - Health10/14/2021 
InactiveTrustgard Insurance Company300104Agent - Casualty6/13/20183/11/2019
InactiveTrustgard Insurance Company300104Agent - Property6/13/20183/11/2019
InactiveUSAA Casualty Insurance Company300995Agent - Casualty7/24/20219/7/2021
InactiveUSAA Casualty Insurance Company300995Agent - Property7/24/20219/7/2021
InactiveUSAA General Indemnity Company300131Agent - Casualty7/24/20219/7/2021
InactiveUSAA General Indemnity Company300131Agent - Property7/24/20219/7/2021
InactiveUnited Services Automobile Association300158Agent - Casualty7/24/20219/7/2021
InactiveUnited Services Automobile Association300158Agent - Property7/24/20219/7/2021
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/9/202111/15/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/6/20244/21/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/20/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/20/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/6/20244/21/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/14/20223/2/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/13/20213/2/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealthcompare Ins Services Inc708319Agent - Life7/31/20244/28/2025
InactiveHealthcompare Ins Services Inc708319Agent - Health7/31/20244/28/2025
InactiveInsurance Answer Center LLC694353Agent - Property6/5/20186/27/2018
InactiveInsurance Answer Center LLC694353Agent - Casualty6/5/20186/27/2018
InactiveeHealthInsurance Services Inc.514105Agent - Health10/19/20234/2/2024

© Commonwealth of Kentucky. All rights reserved.