DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Forehand, Daisha	DOIID	1041358	NAIC NPN	18851640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/22/2019	5/31/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2019	4/26/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/7/2019	6/1/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/11/2020	11/24/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/17/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/17/2020	12/30/2021

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 - Health	10/16/2019	4/27/2021