DEPARTMENT OF INSURANCE
Affiliations
NameInsurance Servs Of America IncDOIID1190104NAIC NPN2013367
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/24/2022 3/31/2026
ActiveNon ResidentAgentLife2/24/2022 3/31/2026
* 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
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health12/12/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePorter, Susan Stott 644281Agent - Health2/24/2022 
ActivePorter, Susan Stott 644281Agent - Life2/24/2022 

© Commonwealth of Kentucky. All rights reserved.