DEPARTMENT OF INSURANCE
Affiliations
NameSelm, Anthony JosephDOIID711502NAIC NPN8788501
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/19/2009 6/30/2026
ActiveNon ResidentAgentProperty11/22/2014 6/30/2026
ActiveNon ResidentAgentLife8/19/2009 6/30/2026
ActiveNon ResidentAgentCasualty11/22/2014 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/1/2014 
ActiveAetna Health Insurance Company301583Agent - Health8/1/2014 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/19/2016 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/1/2014 
ActiveAetna Life Insurance Company301140Agent - Life8/1/2014 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/3/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/2021 
InactiveAnthem Life Insurance Company301209Agent - Health2/8/20144/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life2/8/20144/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health1/9/202312/12/2024
InactiveBankers Fidelity Assurance Company554627Agent - Health10/4/201612/18/2018
InactiveBankers Fidelity Assurance Company554627Agent - Life10/4/201612/18/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Health9/19/201612/18/2018
InactiveBankers Fidelity Life Insurance Company300193Agent - Life9/19/201612/18/2018
ActiveBanner Life Insurance Company301696Agent - Life12/24/2015 
InactiveBristol West Insurance Company301655Agent - Casualty11/9/201512/20/2024
InactiveBristol West Insurance Company301655Agent - Property11/9/201512/20/2024
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/25/2015 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life10/25/2015 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/7/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health11/13/201312/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health11/9/202212/12/2024
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/22/2021 
ActiveCoventry Health and Life Insurance Company301771Agent - Health1/8/2014 
ActiveCoventry Health and Life Insurance Company301771Agent - Life2/4/2014 
InactiveDental Concern Inc. (The)301641Agent - Health1/2/20186/15/2018
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/28/2024 
ActiveEmphesys Insurance Company300598Agent - Health11/7/2025 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/1/2014 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/9/201512/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/9/201512/20/2023
InactiveGolden Rule Insurance Company301943Agent - Health2/3/202012/13/2022
InactiveGolden Rule Insurance Company301943Agent - Life2/3/202012/14/2022
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20145/2/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/6/20145/2/2017
InactiveHumana Health Plan, Inc.300142Agent - Health1/2/20194/29/2019
ActiveHumana Insurance Company301104Agent - Health11/24/2021 
InactiveHumana Insurance Company301104Agent - Life10/25/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/19/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/19/20176/15/2018
ActiveHumana Medical Plan, Inc.801568Agent - Health4/7/2025 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20165/2/2017
InactiveKanawha Insurance Company300127Agent - Health11/13/201311/3/2015
InactiveKanawha Insurance Company300127Agent - Life11/13/201311/3/2015
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health1/11/2017 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health11/8/2023 
InactiveSILAC Insurance Company300535Agent - Health8/30/201612/13/2016
InactiveSILAC Insurance Company300535Agent - Life8/30/201612/13/2016
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/21/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveStandard Insurance Company300185Agent - Health12/31/2024 
ActiveStandard Insurance Company300185Agent - Life12/31/2024 
ActiveUnited World Life Insurance Company300532Agent - Health1/17/2025 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/2/20243/24/2025
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/2/20243/24/2025
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/17/2021 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/20168/30/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/17/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/17/202112/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/30/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/17/2021 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/12/20232/28/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/20195/13/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCBISA Reaquisitian Corp547026Agent - Life4/15/2014 
ActiveCBISA Reaquisitian Corp547026Agent - Health4/15/2014 
InactiveDesignated Agent Company Inc.681257Agent - Life2/8/20142/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Health2/8/20142/11/2025
ActiveThe Modern Insurance Store815553Agent - Life7/28/2021 
ActiveThe Modern Insurance Store815553Agent - Health7/28/2021 

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