DEPARTMENT OF INSURANCE
Affiliations
NameWurm, Charming DOIID1051536NAIC NPN18826619
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/23/2021 5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/202503/05/202503/05/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXIS Insurance Company301290Agent - Health10/30/20195/31/2021
ActiveAmerican Financial Security Life Insurance Co.301635Agent - Health10/20/2023 
ActiveCareSource Kentucky Co.838179Agent - Health4/8/2024 
InactiveFederal Life Insurance Company300945Agent - Health10/20/202311/11/2024
InactiveFidelity Security Life Insurance Company300466Agent - Health6/22/20238/25/2023
InactiveGuarantee Trust Life Insurance Company301043Agent - Health10/5/202312/26/2024
ActiveLoyal American Life Insurance Company301172Agent - Health7/26/2024 
InactiveUnified Life Insurance Company543169Agent - Health9/25/20236/4/2024
ActiveUnited States Fire Insurance Company582240Agent - Health11/4/2024 
InactiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health2/22/20243/29/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Plan Intermediaries Holdings786463Agent - Health11/12/20195/31/2021

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