DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Manivong, Sakhone	DOIID	716196	NAIC NPN	15030982

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/10/2015	10/31/2017
Inactive	Non Resident	Agent	Health	2/10/2015	10/31/2017
* 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	2/27/2015	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/8/2016	3/21/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/8/2016	3/21/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/27/2017	10/31/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/26/2016	10/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2016	10/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2016	10/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2016	10/31/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/26/2016	10/31/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/26/2016	10/31/2017
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/12/2010	2/25/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/9/2009	2/25/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/9/2009	10/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/9/2009	2/25/2010

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	11/9/2016	10/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/9/2016	10/31/2017