DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fountaine, Eddie	DOIID	1074994	NAIC NPN	19424599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/12/2023		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/16/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/16/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/16/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/12/2023	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/12/2023	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/12/2023	12/16/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/12/2023	9/6/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/12/2023	12/16/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/9/2020	8/3/2021
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2023	9/10/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/16/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2023	9/6/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/5/2020	6/25/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/5/2020	6/25/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2023	9/6/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/2/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/2/2020	12/30/2021

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 - Health	3/10/2020	1/13/2022