DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Orca Hc	DOIID	1127760	NAIC NPN	19858738

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/5/2021		3/31/2025
Active	Resident	Agent	Health	4/5/2021		3/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	7/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/7/2021	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/7/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/7/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/7/2021	7/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022	6/2/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022	6/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Shawn, Richard J	324251	Agent - Health	4/5/2021
Active	Shawn, Richard J	324251	Agent - Life	4/5/2021