DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Dallas	DOIID	1106527	NAIC NPN	19683751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/21/2020		5/31/2025
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	10/27/2020
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	11/4/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/27/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	10/27/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/27/2020	5/13/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	5/13/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	5/13/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/15/2021	12/8/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	5/13/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/4/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/5/2021	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/25/2021	12/13/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/19/2021	7/4/2025
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	10/27/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2020	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/25/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/25/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/25/2020	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/8/2020	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2020	6/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	eHealthInsurance Services Inc.	514105	Agent - Health	10/27/2020