DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wethington, Charles Kennan	DOIID	572641	NAIC NPN	7741163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	10/5/2017		11/30/2024
Active	Resident	Agent	Life	7/22/2003		11/30/2024
Active	Resident	Agent	Health	7/22/2003		11/30/2024
* 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	09/15/2024	11/30/2024
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2003
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	7/22/2003
Active	Anthem Life Insurance Company	301209	Agent - Life	7/22/2003
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky (TPA)	401292	Administrator - Not Applicable	10/7/2019