DEPARTMENT OF INSURANCE

Affiliations

Name	Belmont, Kizzy	DOIID	1099205	NAIC NPN	19216806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/18/2020		12/31/2026
* 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	10/15/2026	12/31/2026

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	11/9/2020	4/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/21/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	2/21/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/21/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/21/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/23/2022
Active	CHA HMO, Inc.	300662	Agent - Health	12/21/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/5/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	9/23/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/21/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	2/21/2025
Active	Emphesys Insurance Company	300598	Agent - Health	11/4/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	5/26/2026
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/11/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2024
Active	Humana Insurance Company	301104	Agent - Health	9/23/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/23/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/3/2022
Active	SilverScript Insurance Company	663526	Agent - Health	2/21/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/19/2020	1/5/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/19/2020	1/5/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/5/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/11/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2020	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	2/13/2025