DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Berning, Joan E	DOIID	361125	NAIC NPN	3309668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/31/1999	11/30/2003
Inactive	Non Resident	Agent	Health Maintenance Organization	12/10/1998	8/26/1999
* 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	Owensboro Community Health Plan HMO Inc.	300906	Agent - Health Maintenance Organization	12/10/1998	8/26/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Health Plans Inc.	401295	Administrator - Not Applicable	3/31/1999	11/30/2003