DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Patrice	DOIID	1059701	NAIC NPN	2131915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/8/2019		11/30/2025
Active	Non Resident	Agent	Health	10/8/2019		11/30/2025
* 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	09/15/2025	11/30/2025

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	10/6/2021	9/11/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/6/2021	9/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/6/2021	9/11/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/30/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/30/2019	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/14/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/6/2021	9/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/25/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/25/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/25/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/25/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/16/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/16/2023

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	10/30/2019	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	10/30/2019
Active	Gohealth LLC	691445	Agent - Health	2/19/2024