DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Donna RaeDOIID728765NAIC NPN15777768
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/10/20106/30/2017 
InactiveResidentAgentLife7/23/20106/30/2017 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAll Savers Insurance Company301940Agent - Health6/10/20137/7/2017
InactiveAll Savers Insurance Company301940Agent - Life6/10/20137/7/2017
InactiveAmerican United Life Insurance Company300498Agent - Health10/9/20136/30/2017
InactiveAmerican United Life Insurance Company300498Agent - Life10/9/20136/30/2017
InactiveAnthem Life Insurance Company301209Agent - Health12/12/20124/25/2017
InactiveAnthem Life Insurance Company301209Agent - Life12/12/20124/25/2017
InactiveColonial Life and Accident Insurance Company300846Agent - Life8/3/20106/30/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health3/4/201612/13/2016
InactiveDental Care Plus Inc.301495Agent - Health9/16/20146/30/2017
InactiveDental Concern Inc. (The)301641Agent - Health3/19/20136/30/2017
InactiveFidelity Security Life Insurance Company300466Agent - Health9/10/20146/30/2017
InactiveFidelity Security Life Insurance Company300466Agent - Life9/10/20146/30/2017
InactiveGolden Rule Insurance Company301943Agent - Health7/9/20147/7/2017
InactiveGolden Rule Insurance Company301943Agent - Life7/9/20147/7/2017
InactiveGuardian Life Insurance Company of America301316Agent - Health5/22/20146/30/2017
InactiveGuardian Life Insurance Company of America301316Agent - Life5/22/20146/30/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Health3/10/20177/30/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life3/10/20177/30/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/7/201512/8/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/5/201612/13/2016
InactiveHumana Health Plan, Inc.300142Agent - Health3/19/20136/30/2017
InactiveHumana Insurance Company301104Agent - Health3/19/20136/30/2017
InactiveHumana Insurance Company301104Agent - Life3/19/20136/30/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/15/20156/30/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/7/201512/8/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health2/7/201512/8/2015
InactiveKanawha Insurance Company300127Agent - Health2/7/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life2/11/201510/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health3/17/201410/29/2015
InactiveTransamerica Life Insurance Company300571Agent - Health6/21/20117/22/2016
InactiveTransamerica Life Insurance Company300571Agent - Life6/21/20117/22/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/29/20177/7/2017
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/29/20177/7/2017
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health5/13/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life5/13/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/28/201012/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/28/201012/1/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life9/14/20101/4/2013
InactiveArison Insurance Services, Inc.401001Agent - Health10/28/20101/4/2013
InactiveAssuredpartners Nl, Llc762387Agent - Life4/16/20125/2/2017
InactiveAssuredpartners Nl, Llc762387Agent - Health4/16/20125/2/2017
InactiveDental Choice Agency Inc.398085Agent - Health12/27/20117/21/2014
InactiveDesignated Agent Company Inc.681257Agent - Life12/12/20126/30/2017
InactiveDesignated Agent Company Inc.681257Agent - Health12/12/20126/30/2017
InactivePlanchoice Inc.400482Agent - Life12/8/20146/30/2017
InactivePlanchoice Inc.400482Agent - Health12/8/20146/30/2017

© Commonwealth of Kentucky. All rights reserved.