DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Preferred Health Plan Inc.	DOIID	397836	NAIC NPN	2834913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	1/9/2008	3/31/2016
Inactive	Resident	Agent	Health	11/14/2000	3/31/2014
* 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
Denied	American National Insurance Company	301861	Agent - Health
Inactive	Arch Insurance Company	300688	Agent - Health	7/29/2003	11/8/2006
Inactive	Avemco Insurance Company	300669	Agent - Health	6/1/2001	6/15/2005
Inactive	Clarendon National Insurance Company	300843	Agent - Health	11/14/2002	10/28/2003
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/11/2003	3/31/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/5/2012	7/1/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/29/2002	3/31/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/14/2000	3/31/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/15/2010	3/31/2014
Inactive	QBE Insurance Corporation	300515	Agent - Health	6/25/2010	3/31/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/4/2001	3/31/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ballard, Brenda L	364778	Agent - Health	4/21/2000	3/31/2014
Inactive	Barr, Paula S	325692	Administrator - Not Applicable	3/31/1997	10/31/2004
Inactive	Bennett, Tonia Gail	516548	Agent - Health	6/27/2003	7/1/2004
Inactive	Lindsey, Melody Ann	354990	Agent - Health	4/21/2000	3/28/2003
Inactive	Lyons, Catherine A	367316	Agent - Health	6/27/2003	11/16/2011
Inactive	McAuliffe, Richard F	313912	Agent - Health	6/27/2003	3/18/2004
Inactive	Mitchum, Richard Allen	328102	Administrator - Not Applicable	1/9/2008	3/31/2016
Inactive	Stivers, Mary C	375269	Administrator - Not Applicable	1/31/1990	4/30/2004
Inactive	Stovall, Dennis A	318402	Administrator - Not Applicable	6/13/1997	10/31/2005
Inactive	Whittaker, Jeanene T	315467	Agent - Health	4/21/2000	9/15/2002