DEPARTMENT OF INSURANCE

Affiliations

Name	Hawkins, Alyssa Rae	DOIID	302699	NAIC NPN	7156870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/10/2010		11/30/2026
Active	Resident	Agent	Life	2/4/2011		11/30/2026
Inactive	Resident	Agent	Health Maintenance Organization	10/4/1994	12/1/2000
* 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	Anthem Life Insurance Company	301209	Agent - Health	3/25/2011
Active	Anthem Life Insurance Company	301209	Agent - Life	3/25/2011
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	6/2/2006	9/11/2009
Inactive	CHA HMO, Inc.	300662	Agent - Health	5/22/2002	8/23/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	10/11/1995	12/1/2000
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/10/2022
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/10/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/22/2011	4/14/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/12/2011	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/12/2011	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/22/2011	4/14/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/20/2014	4/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/22/2011	4/14/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/4/1994	12/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	8/22/2011	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/22/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/22/2011	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/22/2011	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/12/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/12/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2014	5/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2014	5/14/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/29/2013	10/29/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/25/2011	1/4/2013
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/25/2011	1/4/2013
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	4/16/2012	11/14/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	4/16/2012	11/14/2022
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013