DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Butt, Jeffrey	DOIID	742015	NAIC NPN	16004020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/19/2017	9/30/2022
* 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	11/16/2010	7/20/2012
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	9/30/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/11/2014	9/30/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/2/2020	9/30/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/11/2014	9/30/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/28/2017	9/30/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2018	9/30/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2017	9/30/2022
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2017	9/30/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/11/2014	9/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/28/2017	9/30/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/2/2020	9/30/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/11/2014	10/22/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/26/2011	10/25/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2011	1/8/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/26/2011	1/8/2013
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/23/2010	9/2/2015

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	9/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/16/2010	7/20/2012