DEPARTMENT OF INSURANCE

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	License Expiration Date
Active	Resident	Agent	Health	7/1/2024		3/31/2026
Active	Resident	Agent	Life	7/1/2024		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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/7/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/30/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/30/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/18/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/30/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/16/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/16/2024

Designated Individuals

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