DEPARTMENT OF INSURANCE

Affiliations

Name	Poling, Judy A	DOIID	372886	NAIC NPN	7201407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/10/2004	12/31/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky (TPA)	401292	Administrator - Not Applicable	5/10/2004	12/31/2007
Inactive	Anthem Insurance Companies Inc. (TPA)	396067	Administrator - Not Applicable	5/10/2004	12/31/2007