DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Deron	DOIID	1056821	NAIC NPN	19241194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/18/2019		6/30/2026
* 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	04/15/2024	06/30/2024	04/19/2024	04/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/11/2020	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/11/2020	7/9/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/24/2019	4/7/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/28/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/3/2020	3/13/2020
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/19/2019	12/13/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/11/2020	7/9/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/20/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/20/2021	7/14/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/20/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/28/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/14/2020	4/10/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/14/2020	4/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	7/20/2022
Inactive	Red Ventures Ins LLC	794656	Agent - Health	5/20/2020	1/18/2021