DEPARTMENT OF INSURANCE

Affiliations

Name	Moulton, Jerald	DOIID	1040716	NAIC NPN	18897902

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/16/2019	2/28/2027
Active	Non Resident	Agent	Life	5/16/2019	2/28/2027
* 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	12/15/2024	02/28/2025	01/24/2025	01/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2020	9/9/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/24/2020	9/9/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/24/2020	9/9/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	12/2/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	12/2/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/24/2020	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/7/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/10/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	6/10/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/8/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/5/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	9/28/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/22/2021	12/13/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/24/2020	9/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/5/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/5/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/5/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/5/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/5/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/2/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	12/2/2019
Active	Gohealth LLC	691445	Agent - Health	2/16/2024