DEPARTMENT OF INSURANCE

Affiliations

Name	Purpose Insurance Agency, LLC	DOIID	1213960	NAIC NPN	20379027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2022	3/31/2026
Active	Non Resident	Agent	Life	6/29/2022	3/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	8/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	8/27/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	6/5/2024
Active	Tier One Insurance Company	301056	Agent - Health	9/12/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bittorf, Camille	1004345	Agent - Health	5/22/2024	10/3/2024
Inactive	Bride, Tiffany Rene	311437	Agent - Health	1/19/2024	2/13/2025
Inactive	Bride, Tiffany Rene	311437	Agent - Life	1/19/2024	2/13/2025
Denied	Canale, Elaine Marie	1308354	Agent - Health
Denied	Canale, Elaine Marie	1308354	Agent - Life
Denied	Cedrez, Alexander Louis	1312157	Agent - Health
Denied	Cedrez, Alexander Louis	1312157	Agent - Life
Inactive	Chacon-Romero, Carla A	1191358	Agent - Health	11/21/2023	2/12/2025
Inactive	Couzens, Roseann Charmain	1210024	Agent - Health	11/8/2023	10/3/2024
Inactive	Crespo, Alberto Enrique	1217796	Agent - Health	3/14/2024	10/3/2024
Inactive	Cunningham, Tarrin R	1018740	Agent - Health	4/10/2024	7/17/2024
Denied	Eben, Tylynn Song	1329195	Agent - Health
Denied	Eben, Tylynn Song	1329195	Agent - Life
Inactive	Etlinger, Theodore Raymond	1201678	Agent - Health	11/6/2023	10/3/2024
Active	Fee, David Martin	696930	Agent - Health	6/29/2022
Active	Fee, David Martin	696930	Agent - Life	6/29/2022
Denied	Grandon, Lindsey	1305604	Agent - Health
Denied	Hardwick, Ashlee Narissa	1310828	Agent - Health
Denied	Hardwick, Ashlee Narissa	1310828	Agent - Life
Inactive	Henderson, William Earl	891680	Agent - Health	11/6/2023	10/3/2024
Inactive	Henderson, William Earl	891680	Agent - Life	11/6/2023	10/3/2024
Inactive	Hill, Gillis	1104897	Agent - Health	11/6/2023	7/17/2024
Inactive	Hill, Gillis	1104897	Agent - Life	11/6/2023	7/17/2024
Inactive	Johnson, Ateya	1210546	Agent - Health	11/6/2023	2/12/2025
Inactive	Johnson, Bryan Corey	1093823	Agent - Health	9/27/2023	2/12/2025
Inactive	Johnson, Bryan Corey	1093823	Agent - Life	9/27/2023	2/12/2025
Inactive	Johnson, Naquay	1159938	Agent - Health	4/10/2024	7/17/2024
Inactive	Jones, Bernar	1062848	Agent - Health	11/14/2023	2/2/2024
Inactive	Lopez, Carlos L	1181968	Agent - Health	11/18/2023	10/3/2024
Inactive	Lopez, Carlos L	1181968	Agent - Life	11/18/2023	10/3/2024
Inactive	Mager, Marc Adam	1082258	Agent - Health	9/27/2023	2/12/2025
Inactive	Mager, Marc Adam	1082258	Agent - Life	9/27/2023	7/4/2024
Inactive	Manning, Nakishia A	1146793	Agent - Health	3/14/2024	10/3/2024
Inactive	Manning, Nakishia A	1146793	Agent - Life	3/14/2024	10/3/2024
Inactive	Matias Cortes, Juan J	1190002	Agent - Health	6/3/2024	10/3/2024
Denied	Mcconnell, Gerald Edward	1301618	Agent - Health
Denied	Mcconnell, Gerald Edward	1301618	Agent - Life
Denied	Mcdermott, Mark	1241801	Agent - Health
Denied	Mcdermott, Mark	1241801	Agent - Life
Inactive	Middleton, Kari	1082295	Agent - Health	11/21/2023	10/3/2024
Inactive	Middleton, Kari	1082295	Agent - Life	11/21/2023	10/3/2024
Pending	Murphy, Loretta	1379811	Agent - Health
Pending	Murphy, Loretta	1379811	Agent - Life
Inactive	Owens, Star Lynn	1049973	Agent - Health	10/10/2023	2/12/2025
Inactive	Owens, Star Lynn	1049973	Agent - Life	10/10/2023	2/12/2025
Inactive	Ramirez, Claudia Ivonne	1047488	Agent - Health	5/2/2024	7/17/2024
Denied	Ramirez, Claudia Ivonne	1047488	Agent - Life
Inactive	Ramirez, Steven Orlando	1040391	Agent - Health	5/14/2024	10/3/2024
Inactive	Reid, Ronald Kelvin	1046937	Agent - Health	11/10/2023	3/19/2024
Inactive	Reid, Ronald Kelvin	1046937	Agent - Life	11/10/2023	3/19/2024
Inactive	Rice, Elizabeth Jane	1001812	Agent - Health	11/1/2023	2/12/2025
Inactive	Richard, Kelis	1055163	Agent - Health	4/6/2024	7/17/2024
Denied	Richard, Kelis	1055163	Agent - Life
Inactive	Snow, Judith Mitchell	942685	Agent - Health	11/1/2023	2/12/2025
Inactive	Snow, Judith Mitchell	942685	Agent - Life	11/1/2023	2/12/2025
Inactive	Vanderlaan, Eric Pieter	1143564	Agent - Health	6/11/2024	10/3/2024
Inactive	Vega, Luis M	1143566	Agent - Health	5/9/2024	5/29/2024
Inactive	Velasquez, Anthony Francisco	1208927	Agent - Health	9/24/2024	10/3/2024
Denied	Velasquez, Anthony Francisco	1208927	Agent - Life
Inactive	Ward, Melissa J	1029888	Agent - Health	11/29/2023	10/3/2024
Denied	Ward, Melissa J	1029888	Agent - Life
Inactive	Washington, Melissa Renee	1182463	Agent - Health	4/18/2024	7/17/2024