PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameInsurasource IncDOIID1039079NAIC NPN8149423
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/3/2019 3/31/2027
ActiveNon ResidentAgentHealth5/3/2019 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana Health Plan, Inc.300142Agent - Health6/13/202212/13/2022
InactiveHumana Insurance Company301104Agent - Health6/13/202212/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/13/202212/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/13/202212/13/2022
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlvaro, Stacie Ann 1039342Agent - Health8/20/20201/31/2023
InactiveAlvaro, Stacie Ann 1039342Agent - Life8/20/20201/31/2023
InactiveBeltz, Christopher A 1038423Agent - Health5/3/20197/26/2024
InactiveBeltz, Christopher A 1038423Agent - Life5/3/20197/26/2024
DeniedGilstrap, Justin C 1054009Agent - Health  
DeniedGilstrap, Justin C 1054009Agent - Life  
InactiveManning, Kelley Lynn 1052247Agent - Health6/9/20203/28/2023
InactiveManning, Kelley Lynn 1052247Agent - Life6/9/20203/28/2023
ActiveThompson, Daniel C 1108435Agent - Health7/26/2024 
ActiveThompson, Daniel C 1108435Agent - Life7/26/2024 
InactiveWilcox, Richard D 1054090Agent - Health6/9/202011/11/2024
InactiveWilcox, Richard D 1054090Agent - Life6/9/202011/11/2024

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