DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Richard, Kelis	DOIID	1055163	NAIC NPN	12826061

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/2/2024		3/31/2027
Active	Non Resident	Agent	Health	4/2/2024		3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/31/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/21/2020	8/18/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	8/18/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/3/2021	8/10/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2019	4/21/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/7/2019	4/21/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/4/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/1/2020	3/8/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/1/2020	3/8/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/1/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/1/2020	3/8/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/23/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/23/2020	12/29/2021

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 - Life	5/8/2020	8/18/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/21/2020	8/18/2021
Inactive	Ensurem II LLC	908041	Agent - Life	6/10/2021	8/18/2021
Inactive	Ensurem II LLC	908041	Agent - Health	6/10/2021	4/6/2022
Pending	Purpose Insurance Agency, LLC	1213960	Agent - Life
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	4/6/2024	7/17/2024