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.

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