PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBanjongraksa, Chamnan DOIID1082234NAIC NPN19478379
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/27/20202/28/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/20212/28/2022
InactiveAetna Health Inc. (PA)660717Agent - Health5/6/20207/9/2021
InactiveAetna Health and Life Insurance Company300523Agent - Health4/29/20202/28/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/30/20207/9/2021
InactiveAetna Life Insurance Company301140Agent - Health5/6/20207/9/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/30/202012/11/2020
InactiveCareSource Kentucky Co.838179Agent - Health10/3/20207/16/2021
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/29/20202/28/2022
InactiveSilverScript Insurance Company663526Agent - Health5/6/20207/9/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/13/202012/7/2020
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/13/202012/7/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/13/202012/7/2020
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/13/202012/7/2020
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health5/18/202012/14/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health5/18/20202/28/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/1/202012/16/2020
InactiveeHealthInsurance Services Inc.514105Agent - Health4/29/202010/23/2020

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