DEPARTMENT OF INSURANCE
Affiliations
NameGentry, Michelle GwenDOIID336917NAIC NPN7185706
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/23/19958/1/2009 
InactiveResidentAgentHealth10/23/19958/1/2009 
InactiveResidentAgentHealth Maintenance Organization3/6/19983/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20018/1/2009
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization3/6/19983/1/2001
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/14/19988/1/2009
InactiveAnthem Life Insurance Company301209Agent - Health10/23/19958/1/2009
InactiveAnthem Life Insurance Company301209Agent - Life10/23/19958/1/2009
InactiveMedAmerica Insurance Company301568Agent - Health11/4/20025/17/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health3/17/19982/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Life3/17/19982/28/2003

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