DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Worsham, Anna Jewel	DOIID	701511	NAIC NPN	11484162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/15/2019	3/31/2022
Inactive	Non Resident	Agent	Life	3/12/2009	3/31/2010
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	5/3/2019	12/14/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/16/2009	3/31/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Health	4/27/2009	7/1/2009
Inactive	Physicians Life Insurance Company	300924	Agent - Life	4/27/2009	7/1/2009
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	4/27/2009	7/1/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/16/2009	3/29/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/16/2009	3/29/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/3/2019	12/14/2019