DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Dallas	DOIID	1106527	NAIC NPN	19683751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2020		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/27/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/4/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/27/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/27/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/27/2020	5/13/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	5/13/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	5/13/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/15/2021	12/8/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	5/13/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/4/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/5/2021	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/25/2021	12/13/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/19/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/27/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2020	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/25/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/25/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/25/2020	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/8/2020	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2020	6/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	eHealthInsurance Services Inc.	514105	Agent - Health	10/27/2020