DEPARTMENT OF INSURANCE

Affiliations

Name	Enrollment Management Services LLC	DOIID	1002684	NAIC NPN	15026668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/27/2018	3/31/2026
Active	Non Resident	Agent	Health	7/27/2018	3/31/2026
Denied	Non Resident	Agent	Self-Service Storage Space
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/17/2020
Active	Accendo Insurance Company	300312	Agent - Life	3/17/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/2/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/17/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/31/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	3/17/2021	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/15/2018
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/25/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/4/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Combined Insurance Company of America	301472	Agent - Health	4/15/2020
Active	Combined Insurance Company of America	301472	Agent - Life	4/15/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	7/6/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/17/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/17/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/28/2023	12/12/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2024
Active	Humana Insurance Company	301104	Agent - Health	11/22/2021
Active	Medco Containment Life Insurance Company	301557	Agent - Health	1/11/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/10/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/10/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/10/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/10/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackwelder, Ralph A	390576	Agent - Health	7/27/2018
Active	Blackwelder, Ralph A	390576	Agent - Life	7/27/2018