DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mordica, Kysha Tama	DOIID	1029887	NAIC NPN	18075904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/21/2019		11/30/2025
Active	Non Resident	Agent	Life	2/21/2019		11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/24/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/24/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	5/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/27/2019	5/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/27/2019	5/7/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/27/2023	5/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	5/13/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	5/7/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/8/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	5/17/2019	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2019	5/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/26/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/26/2019	5/13/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/24/2020	5/31/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/24/2020	5/31/2023

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 - Life	2/27/2019	5/7/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/27/2019	2/10/2025