DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Maple Brokers	DOIID	1348021	NAIC NPN	21238506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/1/2024	7/28/2026
Inactive	Resident	Agent	Health	7/1/2024	7/28/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2024	7/28/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2024	7/28/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/7/2024	7/28/2026
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/11/2026	7/28/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/30/2024	7/28/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/30/2024	7/28/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/18/2024	7/28/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/30/2024	7/28/2026
Inactive	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024	7/28/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/11/2026	7/28/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/11/2026	7/28/2026
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/19/2024	7/28/2026
Inactive	Medico Insurance Company	301559	Agent - Health	6/12/2026	7/28/2026
Inactive	Medico Insurance Company	301559	Agent - Life	6/12/2026	7/28/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/1/2025	7/28/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/7/2024	7/28/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2024	7/28/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2024	7/28/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/16/2024	7/28/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/16/2024	7/28/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hollingsworth, Ralston Hall	706997	Agent - Health	7/1/2024	7/28/2026
Inactive	Hollingsworth, Ralston Hall	706997	Agent - Life	7/1/2024	7/28/2026