DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Charmain	DOIID	1354786	NAIC NPN	21154179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2024		9/30/2026
* 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	07/15/2026	09/30/2026

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	8/13/2024	10/29/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/13/2024	10/29/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/13/2024	10/29/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/8/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/6/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/8/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/8/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/30/2024
Active	Emphesys Insurance Company	300598	Agent - Health	10/24/2025
Active	Humana Insurance Company	301104	Agent - Health	11/4/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2025
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/24/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/6/2024	12/24/2025
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/25/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/13/2024	10/29/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/8/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	eHealthInsurance Services Inc.	514105	Agent - Health	10/8/2024