DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackmon, Yvette	DOIID	1039853	NAIC NPN	9269987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/9/2019	3/31/2022
Inactive	Non Resident	Agent	Life	5/9/2019	3/31/2022
* 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 - Life	6/10/2020	6/1/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/15/2019	7/18/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/15/2019	7/18/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/10/2019	7/16/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/10/2019	7/16/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/10/2019	7/16/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/11/2020	3/31/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/10/2020	3/31/2022

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	5/15/2019	7/18/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/15/2019	7/18/2019