DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Caremark, L.L.C.	DOIID	655547	NAIC NPN	2225554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/17/2015	12/31/2025
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	5/30/2017	12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Evans, Alicia S	641536	Administrator - Not Applicable	1/16/2008	3/30/2009
Inactive	Moffatt, Thomas Swift	872186	Administrator - Not Applicable	3/17/2015	5/4/2026
Inactive	Moffatt, Thomas Swift	872186	Administrator - Not Applicable	5/30/2017	5/4/2026
Inactive	Powers, Mercedes Lee	704042	Administrator - Not Applicable	7/17/2009	1/15/2015