DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, D Andrila	DOIID	1114189	NAIC NPN	18130555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/17/2020		11/30/2025
Active	Non Resident	Agent	Life	12/17/2020		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/21/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/21/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/21/2024
Inactive	USAA Life Insurance Company	300734	Agent - Health	9/11/2024	1/13/2025
Inactive	USAA Life Insurance Company	300734	Agent - Life	9/11/2024	1/13/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/13/2021	3/5/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/13/2021	3/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Life General Agency Inc	399318	Agent - Life	11/18/2024	1/13/2025
Inactive	USAA Life General Agency Inc	399318	Agent - Health	11/18/2024	2/11/2025