DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anthem Insurance Companies Inc. (TPA)	DOIID	396067	NAIC NPN	4287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/26/2021		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breitsch, John G	365804	Administrator - Not Applicable	5/7/1998	1/31/2005
Inactive	Burgess, Robin Marie	651690	Administrator - Not Applicable	3/8/2010	9/30/2010
Inactive	Hillman, Robert Wade	860294	Administrator - Not Applicable	3/28/2016	4/12/2021
Inactive	Isley, Sandra Kay	630943	Administrator - Not Applicable	9/15/2009	12/4/2009
Inactive	Juliano, James Jeffrey	647308	Administrator - Not Applicable	12/28/2009	3/31/2013
Active	Keyser, Jane Elizabeth	1126787	Administrator - Not Applicable	3/26/2021
Inactive	Lynch, Michael S	358058	Administrator - Not Applicable	3/7/1998	10/31/2004
Inactive	Malone, Stanley Ray	599188	Administrator - Not Applicable	7/20/2009	9/30/2009
Inactive	Martenet, Steven J	560065	Administrator - Not Applicable	8/19/2019	8/5/2022
Inactive	Poling, Judy A	372886	Administrator - Not Applicable	5/10/2004	12/31/2007
Inactive	Powell, Robin Thigpen	385591	Administrator - Not Applicable	12/3/2009	4/21/2021
Inactive	Sontag, Cheryl R	326677	Administrator - Not Applicable	5/7/1998	1/31/2006