DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Deryel Canyce	DOIID	1050866	NAIC NPN	19218046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2019		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/19/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/19/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/19/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/31/2021	5/16/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	5/16/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	5/16/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/6/2019	2/20/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/22/2019	11/17/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	5/16/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/28/2022	5/15/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/29/2020	11/25/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/19/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/22/2021	5/2/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/22/2021	5/2/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/22/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/22/2021	5/2/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/29/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/29/2019	12/23/2022

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	11/5/2019	5/24/2022
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/13/2019	12/13/2019