DEPARTMENT OF INSURANCE
Affiliations
NameAttis, Deadline DOIID1368380NAIC NPN21347245
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/21/2024 12/31/2025
ActiveNon ResidentAgentLife10/21/2024 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/23/2025 
ActiveAetna Life Insurance Company301140Agent - Health4/23/2025 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/4/2025 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health5/4/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health5/3/2025 
ActiveCareSource Kentucky Co.838179Agent - Health3/21/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health5/4/2025 
ActiveHumana Insurance Company301104Agent - Health9/30/2025 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health4/18/2025 
ActiveSilverScript Insurance Company663526Agent - Health4/23/2025 
ActiveUnited Home Life Insurance Company300421Agent - Life5/26/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/3/2025 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/3/2025 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health1/14/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveThrive Source Solutions LLC1416505Agent - Life8/28/2025 
ActiveThrive Source Solutions LLC1416505Agent - Health8/28/2025 

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