DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Health Family Insurance	DOIID	1043155	NAIC NPN	8774564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/5/2019		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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/19/2020	7/8/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/19/2020	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/25/2019
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/13/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/12/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	1/14/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/17/2023	2/3/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/13/2024
Inactive	Dental Care Plus Inc.	301495	Agent - Health	7/17/2023	3/31/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	10/19/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	8/27/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/9/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/5/2019	7/8/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/11/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	12/29/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	8/13/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	12/30/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alfonso, Adriana	1042693	Agent - Health	10/5/2019