DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Washington, Ta Lee	DOIID	1056998	NAIC NPN	15730583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/20/2022		12/31/2025
Active	Non Resident	Agent	Health	9/20/2022		12/31/2025
* 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	10/15/2025	12/31/2025

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	10/13/2019	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/13/2019	7/9/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	2/14/2020	12/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/17/2019	12/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/17/2019	12/31/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	3/16/2020	1/27/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/10/2019	1/4/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/10/2019	1/4/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/13/2019	8/17/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/7/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/13/2019	7/9/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/9/2019	12/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2019	3/27/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/24/2019	3/27/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2019	3/27/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2019	3/27/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	2/13/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	2/13/2020

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	10/17/2019	12/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2019	12/31/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	3/5/2020	12/31/2021