DEPARTMENT OF INSURANCE

Affiliations

Name	Anthem Health Plans of Kentucky (TPA) DBA : Anthem Blue Cross and Blue Shield	DOIID	401292	NAIC NPN	67306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	6/15/1998		3/31/2027
Inactive	Resident	Agent	General Lines	6/28/1993	3/31/1998
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025	01/14/2025	01/14/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - General Lines	6/28/1993	3/31/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blinkhorn, Leslie Kim	383786	Administrator - Not Applicable	6/15/1998	3/31/1999
Inactive	Brawner, Carla A	380259	Administrator - Not Applicable	7/27/1998	2/6/2004
Inactive	Breitsch, John G	365804	Administrator - Not Applicable	6/15/1998	1/31/2005
Inactive	Burgess, Robin Marie	651690	Administrator - Not Applicable	3/8/2010	9/30/2010
Inactive	Conochalla, Sharon P.	523688	Administrator - Not Applicable	3/19/2001	9/30/2008
Inactive	Fegett, Linda A	338726	Agent - General Lines	6/28/1993	3/31/1998
Inactive	Fox, Gregory Gene	524010	Administrator - Not Applicable	3/19/2001	1/31/2006
Inactive	Haught, Karl Franklin	601755	Administrator - Not Applicable	1/18/2005	12/31/2008
Inactive	Hobbs, Linda A	343042	Administrator - Not Applicable	3/17/2010	8/31/2016
Inactive	Isley, Sandra Kay	630943	Administrator - Not Applicable	9/15/2009	12/8/2009
Inactive	Juliano, James Jeffrey	647308	Administrator - Not Applicable	12/28/2009	3/31/2013
Inactive	Lynch, Michael S	358058	Administrator - Not Applicable	6/15/1998	10/31/2004
Inactive	Malone, Stanley Ray	599188	Administrator - Not Applicable	12/20/2004	9/30/2009
Inactive	Mindum, Connie L	349698	Administrator - Not Applicable	3/19/2001	10/17/2007
Inactive	Moessner, Deborah Louise	380980	Administrator - Not Applicable	3/28/2016	10/23/2017
Inactive	Murphy, John M	345646	Administrator - Not Applicable	6/15/1998	2/29/2004
Inactive	Pepper, Vincent A	601753	Administrator - Not Applicable	1/18/2005	7/31/2008
Inactive	Poling, Judy A	372886	Administrator - Not Applicable	5/10/2004	12/31/2007
Inactive	Powell, Robin Thigpen	385591	Administrator - Not Applicable	5/28/2009	4/21/2021
Inactive	Sontag, Cheryl R	326677	Administrator - Not Applicable	6/15/1998	1/31/2006
Inactive	Stewart, Richard B	364490	Agent - General Lines	6/28/1993	3/31/1998
Active	Wethington, Charles Kennan	572641	Administrator - Not Applicable	10/7/2019
Inactive	Wishak, George	524011	Administrator - Not Applicable	3/19/2001	7/6/2007