DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lauricella, Ralph M	DOIID	713703	NAIC NPN	10663968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/24/2018	2/29/2020
Inactive	Non Resident	Agent	Life	9/4/2012	2/28/2014
* 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 Life Insurance Company	301209	Agent - Health	10/9/2009	1/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2009	1/31/2011
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	2/28/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/24/2012	3/22/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2012	3/22/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/27/2016	2/28/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/30/2018	2/29/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/27/2016	2/28/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/27/2016	2/28/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/24/2012	12/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/27/2016	2/28/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/24/2012	12/4/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/27/2016	2/28/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	2/28/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2012	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/24/2012	3/22/2013
Inactive	Tier One Insurance Company	301056	Agent - Health	9/25/2012	12/9/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/23/2010	3/29/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/23/2010	3/29/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	10/9/2009	2/29/2012
Inactive	Corporate Call Center, Inc	695480	Agent - Life	10/9/2009	2/29/2012