DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Munn, Elizabeth Ann	DOIID	1103000	NAIC NPN	19656485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2020		9/30/2026
Active	Non Resident	Agent	Life	10/6/2020		9/30/2026
* 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	07/15/2024	09/30/2024	08/21/2024	08/21/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/26/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	12/26/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	12/26/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	4/12/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/27/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/27/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	10/23/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	10/23/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021