DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Kristie Patrice	DOIID	1048431	NAIC NPN	16588310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/19/2025		5/31/2028
Active	Non Resident	Agent	Health	6/11/2024		5/31/2028
* 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	03/15/2026	05/31/2026	05/20/2026	05/20/2026	Yes

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	6/27/2024	2/13/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/27/2024	2/13/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/19/2025	10/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2026
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	5/29/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/27/2024	2/13/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/22/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	5/28/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/25/2025	10/15/2025
Inactive	Humana Insurance Company	301104	Agent - Health	3/6/2025	10/15/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/21/2025	10/15/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/21/2024	10/6/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/29/2019	7/13/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/25/2019	7/13/2020
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/26/2024	11/27/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/27/2024	11/5/2025