DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Chicas Laurence	DOIID	1016351	NAIC NPN	18878847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2018		2/28/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/29/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/28/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/28/2021	3/29/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/28/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/9/2022	5/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/12/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/5/2018	12/15/2020
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/22/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/28/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/3/2022	5/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2022	5/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/27/2022	5/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	8/8/2019	2/13/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/23/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/23/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/1/2022	5/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/30/2019	2/10/2025