DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, La Derria	DOIID	1352722	NAIC NPN	21244568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/29/2024		6/30/2027
Active	Non Resident	Agent	Life	7/29/2024		6/30/2027
* 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	8/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/30/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/30/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/29/2024	10/7/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/29/2024	10/7/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/12/2025	9/29/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/29/2024	10/7/2026
Inactive	Emphesys Insurance Company	300598	Agent - Health	10/24/2025	9/29/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/27/2025	9/29/2026
Inactive	Humana Insurance Company	301104	Agent - Health	2/19/2025	9/29/2026
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/18/2025	9/29/2026
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/30/2024	8/3/2026
Active	SilverScript Insurance Company	663526	Agent - Health	8/30/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2024	8/3/2026
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/15/2025	7/22/2026