DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Kim	DOIID	1076495	NAIC NPN	7929942

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/2/2020	10/31/2022
Inactive	Non Resident	Agent	Life	3/2/2020	10/31/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	5/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/13/2020	5/6/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/19/2020	1/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/27/2020	1/8/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/3/2020	1/8/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/8/2020	1/8/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/6/2020	1/8/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/10/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/10/2020	12/29/2021

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 - Life	3/13/2020	5/6/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/3/2020	5/7/2021