DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bloom, Alyssa	DOIID	1054133	NAIC NPN	19258821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/30/2019	6/30/2021
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/16/2020	5/8/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/6/2020	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/6/2020	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/6/2020	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/6/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/6/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/26/2019	6/30/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2019	6/30/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/6/2020	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/6/2020	6/30/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/6/2020	12/15/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2019	6/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	6/30/2021

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	9/19/2019	5/10/2021