DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	King, Mary	DOIID	1011171	NAIC NPN	18901999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/21/2018	3/31/2021
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	10/30/2019	9/1/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2020	2/3/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2019	9/1/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/13/2019	9/1/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/15/2019	12/19/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/30/2020	2/8/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/30/2020	2/8/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/30/2020	2/8/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/30/2020	2/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Red Ventures Ins LLC	794656	Agent - Health	8/6/2020	1/18/2021
Denied	TZ Insurance Solutions LLC	727470	Agent - Health
Inactive	Trubridge Inc	717747	Agent - Health	6/13/2019	2/8/2021