DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ogburn, Mallory Ann	DOIID	741139	NAIC NPN	15999578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/30/2010		1/31/2026
Active	Resident	Agent	Life	11/30/2010		1/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Active	Anthem Life Insurance Company	301209	Agent - Health	1/21/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	1/21/2019
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	8/1/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	1/22/2019
Active	Designated Agent Company Inc.	681257	Agent - Life	1/22/2019
Active	Skyline Terrace, LLC	521297	Agent - Health	11/6/2017
Denied	Skyline Terrace, LLC	521297	Agent - Life