DEPARTMENT OF INSURANCE
Affiliations
NameFinancial GradeDOIID721194NAIC NPN9888327
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/15/2010 3/31/2026
ActiveNon ResidentAgentLife1/15/2010 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health5/15/2025 
InactiveAccendo Insurance Company300312Agent - Health6/22/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health2/2/2010 
ActiveAetna Health Insurance Company301583Agent - Health9/4/2014 
ActiveAetna Health and Life Insurance Company300523Agent - Health8/24/2016 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/2/2010 
ActiveAetna Life Insurance Company301140Agent - Life2/2/2010 
InactiveAmerican Continental Insurance Company643130Agent - Health6/24/201311/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life6/24/201311/12/2014
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/25/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health12/6/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health12/6/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/25/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/25/20174/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/24/2017 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/24/20143/14/2019
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health1/27/201010/1/2010
InactiveConseco Health Insurance Company301725Agent - Life1/27/201010/1/2010
InactiveConseco Insurance Company301202Agent - Health1/27/201010/1/2010
InactiveConseco Insurance Company301202Agent - Life1/27/201010/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/22/2022 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/15/2014 
ActiveDental Concern Inc. (The)301641Agent - Health6/24/2014 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health5/25/2012 
ActiveGerber Life Insurance Company300529Agent - Health9/20/2018 
ActiveGerber Life Insurance Company300529Agent - Life9/20/2018 
InactiveGolden Rule Insurance Company301943Agent - Health6/22/201512/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life6/22/201512/14/2016
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health6/21/20108/15/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/21/20108/15/2012
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/23/2016 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/24/20142/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health6/24/2014 
ActiveHumana Insurance Company301104Agent - Health6/24/2014 
ActiveHumana Insurance Company301104Agent - Life6/24/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Health6/24/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Life6/24/2014 
InactiveKanawha Insurance Company300127Agent - Health6/24/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/24/201410/22/2015
InactiveLumico Life Insurance Company300354Agent - Life8/17/202211/20/2024
ActiveMedco Containment Life Insurance Company301557Agent - Health11/19/2024 
InactiveMedico Corp Life Insurance Company301777Agent - Health3/18/20153/23/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life3/18/20153/23/2018
InactiveMedico Insurance Company301559Agent - Health3/18/201512/26/2018
InactiveMedico Insurance Company301559Agent - Life3/18/201512/26/2018
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/7/2022 
InactiveMutual of Omaha Insurance Company301012Agent - Health1/20/201012/26/2012
InactiveOmaha Insurance Company751908Agent - Health7/11/20131/27/2014
ActiveSilverScript Insurance Company663526Agent - Health12/19/2019 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/20/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/20/201012/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/10/2014 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health6/22/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life6/22/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/10/201412/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/26/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/26/2014
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/20/2018 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBlasi, Peter Simon 691302Agent - Health1/15/2010 
ActiveBlasi, Peter Simon 691302Agent - Life1/15/2010 

© Commonwealth of Kentucky. All rights reserved.