DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spurlock, Jo A	DOIID	304506	NAIC NPN	7157658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	2/5/2018	3/31/2022
Active	Resident	Agent	Health	3/1/2001		3/31/2026
Active	Resident	Agent	Life	9/21/2023		3/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	10/4/1994	3/1/2001
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/20/2019	8/18/2020
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	9/10/2018
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	1/24/2000	3/1/2001
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	12/30/2002
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	7/23/1996	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/15/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/4/1994	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Health	10/22/2019	6/26/2020
Inactive	Baptist Health Plan, Inc. (TPA)	397874	Agent - Health	5/31/2017	9/10/2018
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/5/2020	8/18/2020
Denied	Energy Ins Agency Inc	398833	Agent - Health
Denied	Energy Ins Agency Inc	398833	Agent - Life