DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tidwell, Carmen Alayna	DOIID	1271688	NAIC NPN	20692697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/28/2023	8/31/2024
Inactive	Non Resident	Agent	Life	4/28/2023	8/31/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/4/2023	6/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/4/2023	6/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/4/2023	6/7/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/16/2023	5/23/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/16/2023	5/23/2024

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	12/7/2023	6/7/2024
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/7/2023	6/7/2024