DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mallow, Sharlotte Nadine	DOIID	1218262	NAIC NPN	19944920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/21/2022		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/24/2023	8/1/2023
Inactive	Humana Insurance Company	301104	Agent - Health	6/28/2023	8/1/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/5/2022	3/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/5/2022	3/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	5/24/2023	8/1/2023