DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Etheridge, Willie Henry	DOIID	794417	NAIC NPN	7696723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/3/2023		11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/1/2024	6/26/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/1/2024	6/26/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/1/2024	6/26/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/26/2024	5/14/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2024	5/14/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/20/2013	8/13/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/22/2013	11/6/2013
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2024	5/14/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/22/2013	11/6/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/19/2013	9/26/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/22/2013	11/6/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/22/2013	11/6/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/22/2024	7/3/2025
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/22/2013	11/6/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/22/2013	11/6/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/1/2024	6/26/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/1/2015	12/15/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2015	12/15/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	12/15/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Healthinsurance.Com, LLC	1082129	Agent - Health