DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Paul Vance	DOIID	818265	NAIC NPN	3601235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	1/7/2020		6/30/2024
* 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	04/15/2024	06/30/2024

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	1/23/2020	7/8/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/12/2018	6/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/23/2020	7/8/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/28/2020	2/15/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/7/2021	2/15/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/7/2021	2/15/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	12/7/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/3/2013	12/7/2017
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/7/2021	2/15/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/12/2018	6/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/3/2013	12/7/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/7/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/3/2013	12/7/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/3/2013	12/7/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/3/2013	12/7/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/3/2013	12/7/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/7/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/7/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/3/2013	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/23/2020	7/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/28/2020	2/15/2024
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	12/7/2017