DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kohorst, Mercia M	DOIID	374343	NAIC NPN	1890934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/18/1994	3/15/2010
Inactive	Resident	Agent	Health Maintenance Organization	12/16/1986	3/1/2001
Inactive	Resident	Agent	Health	8/18/1994	3/15/2010
* 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	3/1/2001	3/15/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/16/1986	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/1998	3/15/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/18/1994	3/15/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/18/1994	3/15/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/15/2004	2/17/2009
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/15/2004	2/17/2009