DEPARTMENT OF INSURANCE

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		3/31/2025
* 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	01/15/2025	03/31/2025

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
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/17/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/13/2024
Active	Dental Care Plus Inc.	301495	Agent - Health	7/17/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	10/19/2022
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