DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Staton, Merrill Syverson	DOIID	1012884	NAIC NPN	18870328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2018	1/31/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2018	1/31/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/25/2019	1/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2018	1/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/31/2019	1/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/28/2018	3/5/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/9/2018	1/31/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/18/2019	12/19/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	1/31/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	3/29/2019	2/16/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2018	6/19/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/1/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2018	6/19/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2018	6/19/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	1/31/2020

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	5/31/2019	1/31/2020