DEPARTMENT OF INSURANCE

Affiliations

Name	Kentuckiana Health Alliance LLC	DOIID	823238	NAIC NPN	17071225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/2023	3/31/2027
Active	Non Resident	Agent	Life	6/8/2023	3/31/2027
* 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	01/15/2027	03/31/2027

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	11/10/2013	8/27/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/10/2013	8/27/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/10/2013	8/27/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/22/2014	3/31/2021
Inactive	CSI Life Insurance Company	596032	Agent - Health	1/25/2019	10/7/2020
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	12/8/2015	8/13/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/25/2013	4/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/25/2013	4/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/25/2013	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/25/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/25/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/25/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/25/2013	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/25/2013	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/25/2013	4/13/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	12/29/2016	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	12/29/2016	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	10/8/2015	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	10/8/2015	12/21/2016
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	1/3/2019	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	1/3/2019	12/28/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/3/2022	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/3/2022	9/20/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Vanover, Matthew	722146	Agent - Health	6/8/2023
Active	Vanover, Matthew	722146	Agent - Life	6/8/2023