DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fellouzis, Emmanuel Michael	DOIID	945544	NAIC NPN	18316216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/22/2017		6/30/2027
Active	Non Resident	Agent	Life	2/22/2017		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	06/05/2025	06/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/8/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/12/2017	6/8/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/17/2020	11/21/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/17/2020	11/21/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/12/2017	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2022	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/12/2017	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	5/12/2017
Active	Humana Insurance Company	301104	Agent - Life	5/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/12/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/12/2017	6/8/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/3/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/2/2023	9/13/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/9/2020	12/29/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	12/9/2020	12/29/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/29/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/29/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	1/22/2025
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/22/2025
Inactive	Trubridge Inc	717747	Agent - Life	5/12/2017	1/22/2025
Inactive	Trubridge Inc	717747	Agent - Health	5/12/2017	1/22/2025