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.

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