DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackwelder, Zaire	DOIID	1001724	NAIC NPN	18821721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/20/2018	8/31/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2019	8/31/2019
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	7/20/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/20/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/20/2018	12/11/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/20/2018	12/11/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/20/2018	12/11/2018

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 - Health	2/28/2019	8/31/2019