DEPARTMENT OF INSURANCE
Affiliations
NameCoverage Champions Insurance Agency LLCDOIID1386910NAIC NPN21466407
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/27/2025 3/31/2027
ActiveNon ResidentAgentHealth4/3/2025 3/31/2027
DeniedNon ResidentAgentCasualty   
* 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health of Ohio Inc.1065035Agent - Health4/8/2025 
ActiveAetna Life Insurance Company301140Agent - Health4/8/2025 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/29/2025 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/29/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/3/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health4/29/2025 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health4/24/2025 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health6/16/2025 
ActiveSilverScript Insurance Company663526Agent - Health4/8/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/3/2025 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/3/2025 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/30/2025 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/30/2025 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAndretich, James M 1300900Agent - Health6/9/20267/2/2026
ActiveAshmead, Latoya 893469Agent - Health7/2/2025 
ActiveDempsey, Benjamin Moore 617497Agent - Health4/3/2025 
ActiveDempsey, Benjamin Moore 617497Agent - Life2/27/2025 
ActiveDowning, Richard A 965812Agent - Health8/14/2025 
InactiveDowning, Richard A 965812Agent - Life8/14/202512/19/2025
ActiveFeltner, Eric Wayne 1322447Agent - Health7/30/2025 
DeniedFeltner, Eric Wayne 1322447Agent - Life  
ActiveJones, Justin Burch 805850Agent - Health6/9/2026 
ActiveJones, Justin Burch 805850Agent - Life6/9/2026 
InactiveLichon, Carrie Ann 1362006Agent - Health7/2/20251/22/2026
InactiveLichon, Carrie Ann 1362006Agent - Life7/30/20251/22/2026
InactiveMuntaser, Shirien H 1362003Agent - Health7/2/20257/30/2025
DeniedMuntaser, Shirien H 1362003Agent - Life  
ActiveNielsen, Eric Vincent 1268620Agent - Health10/14/2025 
DeniedNielsen, Eric Vincent 1268620Agent - Life  
ActiveParke, Ricardo 775794Agent - Health7/2/2025 
ActiveRohner, Devin Daniel 689989Agent - Health6/9/2026 
ActiveRohner, Devin Daniel 689989Agent - Life6/9/2026 
ActiveScarlato, Cheryl Lynn 977876Agent - Health8/11/2025 
ActiveScarlato, Cheryl Lynn 977876Agent - Life8/11/2025 
ActiveStargel, Victoria Irene 580810Agent - Health7/30/2025 
ActiveStargel, Victoria Irene 580810Agent - Life11/4/2025 
DeniedTaylor, Sierra 1347369Agent - Health  
DeniedThurlkill, Jeremy B 1345839Agent - Health  
DeniedThurlkill, Jeremy B 1345839Agent - Life  
PendingWinkler, Jonathan S 984408Agent - Health  
ActiveWinkler, Jonathan S 984408Agent - Life6/9/2026 

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