DEPARTMENT OF INSURANCE
Affiliations
NameWalmart Insurance Services LLCDOIID1087685NAIC NPN19555670
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/29/2020 3/31/2026
ActiveNon ResidentAgentCasualty5/3/2022 3/31/2026
ActiveNon ResidentAgentTravel 11/28/2023 3/31/2026
ActiveNon ResidentAgentProperty5/3/2022 3/31/2026
* 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
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/31/2020 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/1/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health12/14/2020 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/202210/31/2023
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveDental Concern Inc. (The)301641Agent - Health1/17/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/11/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health11/16/2020 
ActiveHumana Insurance Company301104Agent - Health10/21/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health12/8/2020 
ActiveIndependence American Insurance Company524747Agent - Casualty6/26/2024 
ActiveIndependence American Insurance Company524747Agent - Property6/26/2024 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health3/23/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/16/202010/31/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/16/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/16/202010/31/2023
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllred, Anthony Troy 1102271Agent - Health7/14/20228/21/2023
InactiveBaker-Culton, Stephanie Suzette 1093309Agent - Health8/20/20204/20/2021
InactiveBell, Angela B 1092928Agent - Health9/28/20209/29/2020
InactiveBlaski, Lori Lynn 790945Agent - Health8/18/20201/18/2021
InactiveBuono, Christina 1216208Agent - Health7/16/20226/12/2023
InactiveCarrera, Carina 1093151Agent - Health9/4/20208/21/2023
InactiveCarroll, Rhonda Michelle 1092930Agent - Health8/18/20208/13/2021
InactiveCayton, Jonathan Edward 1092825Agent - Health8/21/20209/13/2021
InactiveClark, Fredda Lyn 979173Agent - Health7/31/20209/29/2020
DeniedColeman, Robin Renee 1093238Agent - Health  
InactiveCormier, Lora M 1093140Agent - Health8/21/20203/5/2021
InactiveDavis, Connie 1216061Agent - Health7/22/20228/21/2023
InactiveDemelli, Walter 792605Agent - Health8/21/20201/18/2021
InactiveDorsey, Joel Anthony 1152329Agent - Health9/2/20216/7/2022
InactiveDuncan, Barry Patrick 789474Agent - Health9/2/202011/13/2020
InactiveEckols, Jerry 1051479Agent - Health8/12/20218/21/2023
InactiveEdwards, Nathel 1014274Agent - Health9/2/20208/21/2023
InactiveFews, Kenneth Anthony 1028831Agent - Health8/21/202011/11/2020
InactiveFord, Stephanie 1096139Agent - Health9/9/20206/2/2021
InactiveFulytar, Rachel Sue 1216872Agent - Health7/31/20228/21/2023
InactiveGinn, Cherilyn Kay 1093445Agent - Health8/21/20208/21/2023
InactiveHarris-Williams, Demechtria 1093291Agent - Health9/3/20201/18/2021
InactiveHerd, Leroy Wayne 790140Agent - Health8/21/20203/25/2021
InactiveJackson, Fredric L 626947Agent - Health8/11/20213/1/2022
InactiveJaurigue, Verenice 1218793Agent - Health8/2/20228/21/2023
InactiveJohnson, Martin D 1154665Agent - Health8/26/20213/24/2022
InactiveKalimah, Jameel Faquir 623767Agent - Health9/17/20208/21/2023
ActiveMcLean, Carrie Ann 666122Agent - Health7/31/2020 
InactiveMcrae Ebe, Chenetta Lashayda 895665Agent - Health9/3/20209/20/2021
InactiveMinard-Rivera, Deana Marie 1091628Agent - Health9/9/20204/4/2024
InactiveMollohan Aguilar, Tammy Renee 1218011Agent - Health7/21/20228/21/2023
InactiveMora, Rajea Marie 1149977Agent - Health8/16/20218/21/2023
InactiveNegrette, Gabriel 1222079Agent - Health8/9/20227/31/2023
InactiveOliver, Sanne Quatif 825655Agent - Health8/21/20208/21/2023
InactivePrice, Stacey Nicolle 786879Agent - Health9/17/20201/18/2021
InactiveRasheed, Theodis Ali 692310Agent - Health8/12/202110/11/2021
InactiveRobertson, Jida Sherita 1093464Agent - Health9/2/20205/25/2022
InactiveRobinson, Alisa 895014Agent - Health8/18/20209/2/2021
InactiveRobinson, Colina A 1013190Agent - Health9/2/20208/21/2023
InactiveRodriguez, Paloma 1215510Agent - Health7/16/20228/21/2023
InactiveRubalcaba, Tanya 1221849Agent - Health8/8/20228/21/2023
InactiveSamara, Elizabeth L 1092926Agent - Health8/18/20206/14/2021
InactiveSanchez, Felipe Jesus 785771Agent - Health8/11/20218/21/2023
InactiveScholta, Lanie Louise 1216556Agent - Health7/28/20225/15/2023
InactiveSpeed, Andre D 1093315Agent - Health9/4/20201/18/2021
InactiveStrickland, Calvin 1217417Agent - Health7/19/20228/21/2023
ActiveSullivan, David Brian 895882Agent - Casualty5/3/2022 
ActiveSullivan, David Brian 895882Agent - Health6/29/2020 
ActiveSullivan, David Brian 895882Agent - Property5/3/2022 
ActiveSullivan, David Brian 895882Agent - Travel 11/28/2023 
InactiveVann, Kenneth Pariss 1093281Agent - Health8/21/20209/10/2021
InactiveWestover, Jeanette L 986186Agent - Health8/21/20203/11/2021
InactiveWhaley, Kody 1216190Agent - Health7/20/20228/31/2022
InactiveWilliams, Collette Veronica 1069872Agent - Health7/31/20208/13/2021
InactiveWilson, Jared Rustin 1093125Agent - Health9/3/202012/3/2020
InactiveWright, Daphanie Price 1092896Agent - Health8/24/20209/16/2021
ActiveYoung, Phillip Jerome 1093132Agent - Health8/18/2020 

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