DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Humphreys, Holly Marie	DOIID	1277775	NAIC NPN	20586137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/1/2023		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/8/2023	10/31/2024
Inactive	CHA HMO, Inc.	300662	Agent - Health	12/18/2023	10/31/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/8/2023	10/31/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2024	10/31/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/5/2023	10/31/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2023	10/31/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/29/2023	10/31/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2023	10/31/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/8/2023	10/31/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2023	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023	10/31/2024