DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Leslie	DOIID	1057352	NAIC NPN	19209792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	11/30/2020	5/31/2025
Pending Replacement	Non Resident	Agent	Health	9/23/2019	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2023
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	4/12/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/26/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/3/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/3/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/3/2023	12/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/1/2023	2/17/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/3/2023	12/16/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/12/2023
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	12/13/2020	5/19/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2019	5/5/2020
Pending Replacement	Omaha Health Insurance Company	301296	Agent - Health	9/23/2019
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	4/26/2023
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	12/13/2020	5/19/2021
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	12/13/2020	5/19/2021
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	12/13/2020	5/19/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/1/2023	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/3/2020	10/14/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/3/2020	10/14/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/1/2023	2/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/2/2020	9/20/2022

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	3/2/2020	1/31/2021
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	2/9/2021	5/14/2021