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.
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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