DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mora, Edgar	DOIID	1214505	NAIC NPN	20382076

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	7/1/2022		3/31/2025
Pending Replacement	Non Resident	Agent	Life	7/1/2022		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/21/2022	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/21/2022	2/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/21/2022	2/6/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/31/2022	8/31/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/31/2022	8/31/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/9/2022	8/7/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/9/2022	8/7/2023
Pending Replacement	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/2/2022
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/23/2022	4/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	11/16/2022	12/7/2023
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	11/16/2022	12/7/2023