PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAcordia of Evansville Inc.DOIID401187NAIC NPN2099637
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdjusterIndependent5/11/19953/31/2002 
InactiveNon ResidentAdministratorNot Applicable7/11/19902/6/1998 
InactiveNon ResidentAgentLife5/11/19955/31/2005 
InactiveNon ResidentAgentHealth5/11/19955/31/2005 
InactiveNon ResidentAgentHealth Maintenance Organization5/11/19953/1/2001 
InactiveNon ResidentAgentNon-profit Health Service5/11/199512/31/1998 
* 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 - Health3/1/20015/31/2005
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization5/11/19953/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health5/11/19955/31/2005
InactiveAnthem Life Insurance Company301209Agent - Life5/11/19955/31/2005
InactiveDelta Dental of Kentucky, Inc.301166Agent - Non-profit Health Service5/11/199512/31/1998
InactiveMedical Life Insurance Company300693Agent - Health5/30/199512/31/2004
InactiveMedical Life Insurance Company300693Agent - Life5/30/199512/31/2004
InactivePrincipal Life Insurance Company300129Agent - Health7/3/199611/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life7/3/199611/30/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/10/19965/31/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/10/19965/31/2005
InactiveStandard Insurance Company300185Agent - Health4/7/200311/12/2003
InactiveStandard Insurance Company300185Agent - Life4/7/200311/12/2003
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllen, Marilynn R 350590Administrator - Not Applicable3/31/19953/31/1997
InactiveClancy, Kevin M 327544Administrator - Not Applicable3/31/19952/6/1998
InactiveCochren, Anthony W 341254Agent - Health5/11/19956/30/2003
InactiveCochren, Anthony W 341254Agent - Life5/11/19956/30/2003
InactiveCutsinger, Jennifer A 328883Administrator - Not Applicable4/21/19952/6/1998
InactiveDoss, Shannon R 327134Administrator - Not Applicable3/31/19953/31/1997
InactiveFlaherty, Sheryl A 353675Administrator - Not Applicable3/31/19952/6/1998
InactiveGlendenin, Robert C 335894Administrator - Not Applicable3/21/19972/6/1998
InactiveHudson, Gloria J 345288Administrator - Not Applicable3/31/19953/31/1997
InactiveJohnson, Jaron L 373600Administrator - Not Applicable3/31/19952/6/1998
InactiveLawson, Bruce M 361115Adjuster - Independent5/11/19951/31/2005
InactiveMcKenney, R Gordon 345205Administrator - Not Applicable3/31/19952/6/1998
InactiveMcgowan, Patricia 384246Administrator - Not Applicable3/31/19952/6/1998
InactivePotter, Nancy A 347520Administrator - Not Applicable3/31/19952/6/1998
InactivePrellwitz, Virginia A 373363Administrator - Not Applicable3/31/19953/31/1997
InactiveRussell, M Jean 371365Administrator - Not Applicable3/31/19953/31/1997
InactiveSkiles, Zane A 325778Agent - Health5/11/19955/31/2005
InactiveSkiles, Zane A 325778Agent - Life5/11/19955/31/2005
InactiveWiseman, Tracy Wiseman 312666Administrator - Not Applicable3/31/19952/6/1998
InactiveWorthington, Richard Alan 356331Agent - Health5/11/19955/31/2005
InactiveWorthington, Richard Alan 356331Agent - Life5/11/19955/31/2005

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