DEPARTMENT OF INSURANCE
Affiliations
NameCommunity Action Kentucky Inc.DOIID399747NAIC NPN7221896
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth2/17/19998/1/2022 
InactiveResidentAgentLife2/17/19998/1/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/20018/1/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health2/17/19998/1/2022
InactiveAnthem Life Insurance Company301209Agent - Life2/17/19998/1/2022
InactiveDelta Dental of Kentucky, Inc.301166Agent - Health1/10/20022/7/2007
InactiveDental Choice, Inc.301702Agent - Health1/10/20022/7/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health2/25/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life2/25/199912/31/2001
InactiveBowmar, Thomas (Kip) D 351554Agent - Health2/17/19999/30/2009
InactiveBowmar, Thomas (Kip) D 351554Agent - Life2/17/19999/30/2009
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveMahoney, Florence Geneva 1105906Agent - Health3/25/20216/1/2022
InactiveMahoney, Florence Geneva 1105906Agent - Life3/3/20216/1/2022
InactiveYoung, Susan L 382477Agent - Health2/17/19993/25/2021
InactiveYoung, Susan L 382477Agent - Life2/15/20073/25/2021

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