PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBluegrassmedicare LLCDOIID1319345NAIC NPN21047305
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth1/16/2024 3/31/2026
ActiveResidentAgentLife1/16/2024 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health6/27/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health8/31/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/31/2024 
ActiveAetna Life Insurance Company301140Agent - Health8/31/2024 
ActiveArcadian Health Plan, Inc.728196Agent - Health2/21/2025 
ActiveCHA HMO, Inc.300662Agent - Health6/3/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health9/8/2024 
ActiveCompBenefits Insurance Company301864Agent - Health3/4/2025 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/24/2025 
ActiveHumana Health Plan, Inc.300142Agent - Health3/4/2025 
ActiveHumana Insurance Company301104Agent - Health2/7/2025 
ActiveMedco Containment Life Insurance Company301557Agent - Health3/24/2025 
ActiveSilverScript Insurance Company663526Agent - Health8/31/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/8/2024 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/8/2024 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/10/2025 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health1/10/2025 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePotts, Thomas Wahl 311377Agent - Health1/16/2024 
ActivePotts, Thomas Wahl 311377Agent - Life1/16/2024 

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