DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Humphreys, Susan	DOIID	735903	NAIC NPN	15891296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/13/2019	8/31/2023
* 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	10/18/2010	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2014	12/10/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/1/2016	4/17/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	4/17/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/29/2013	8/31/2013
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/17/2019	12/23/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/17/2019	12/23/2022

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	3/4/2011	8/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/18/2010	8/31/2011