DEPARTMENT OF INSURANCE
Affiliations
NameDickey, Melissa FDOIID352554NAIC NPN7192604
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable6/28/19993/7/2008 
InactiveResidentAgentHealth3/23/20104/24/2023 
InactiveResidentAgentLife3/16/20104/24/2023 
InactiveResidentLife & Health ConsultantNot Applicable12/14/20003/7/2008 
* 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 - Health8/18/20224/24/2023
InactiveAnthem Life Insurance Company301209Agent - Health8/18/20224/24/2023
InactiveAnthem Life Insurance Company301209Agent - Life8/18/20224/24/2023
InactiveBaptist Health Plan, Inc.300157Agent - Health4/5/20103/31/2019
InactiveCareSource Kentucky Co.838179Agent - Health9/23/20224/24/2023
InactiveCompBenefits Dental, Inc.591692Agent - Health6/3/20104/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health6/3/201012/13/2011
InactiveCompBenefits Insurance Company301864Agent - Life6/3/201012/13/2011
InactiveDental Concern Inc. (The)301641Agent - Health6/3/20104/14/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/19/20134/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health6/3/20104/14/2014
InactiveHumana Insurance Company301104Agent - Health6/3/20104/14/2014
InactiveHumana Insurance Company301104Agent - Life6/3/20104/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/3/20104/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/3/20104/14/2014
InactiveKanawha Insurance Company300127Agent - Health6/3/20104/25/2013
InactiveKanawha Insurance Company300127Agent - Life6/3/20104/25/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/25/20195/31/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life1/25/20195/31/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health1/25/20195/31/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/25/20195/31/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdministrative Services Group Inc.401173Agent - Life11/6/19971/29/2007
InactiveAdministrative Services Group Inc.401173Agent - Health11/6/19971/29/2007
InactiveAdministrative Services Group Inc.401173Administrator - Not Applicable6/28/19993/7/2008
InactiveArison Insurance Services, Inc.401001Agent - Life3/13/19983/7/2008
InactiveArison Insurance Services, Inc.401001Agent - Health3/13/19983/7/2008
InactiveCommonwealth Administrators, LLC397899Agent - Life12/31/19991/29/2007
InactiveCommonwealth Administrators, LLC397899Agent - Health12/31/19991/29/2007
InactiveCommonwealth Administrators, LLC397899Administrator - Not Applicable9/2/19993/7/2008
InactiveDesignated Agent Company Inc.681257Agent - Life12/13/201311/2/2016
InactiveDesignated Agent Company Inc.681257Agent - Health12/13/201311/2/2016
InactiveEnergy Ins Agency Inc398833Agent - Life4/16/20103/3/2014
InactiveEnergy Ins Agency Inc398833Agent - Health4/5/20103/3/2014
InactiveEpic Ins Solutions Agency Llc961527Agent - Life1/29/20193/31/2021
InactiveEpic Ins Solutions Agency Llc961527Agent - Health1/29/20193/31/2021
InactiveHall Financial Group LLC869429Agent - Life8/18/20224/24/2023
InactiveHall Financial Group LLC869429Agent - Health8/18/20224/24/2023

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