DEPARTMENT OF INSURANCE
Affiliations
NameMoultrie, Thelma LarnettaDOIID823748NAIC NPN6824114
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/18/201711/30/2019 
InactiveNon ResidentAgentLife12/18/201711/30/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health1/3/201811/30/2019
InactiveAetna Life Insurance Company301140Agent - Health1/3/201811/30/2019
InactiveAetna Life Insurance Company301140Agent - Life1/3/201811/30/2019
InactiveAnthem Life Insurance Company301209Agent - Health2/9/201811/30/2019
InactiveAnthem Life Insurance Company301209Agent - Life2/9/201811/30/2019
InactiveArcadian Health Plan, Inc.728196Agent - Health1/18/20186/8/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/9/201311/30/2015
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/9/201311/30/2015
InactiveChesapeake Life Insurance Company (The)301017Agent - Health12/18/20178/13/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Life12/18/20178/13/2018
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/201811/30/2019
InactiveCoventry Health and Life Insurance Company301771Agent - Health9/16/201411/30/2015
InactiveDental Concern Inc. (The)301641Agent - Health1/18/20186/8/2018
InactiveFirst Health Life & Health Insurance Company301735Agent - Health1/3/201811/30/2019
InactiveGolden Rule Insurance Company301943Agent - Health2/12/201810/11/2018
InactiveGolden Rule Insurance Company301943Agent - Life2/12/201810/11/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/18/20186/8/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/5/201411/30/2015
InactiveHumana Health Plan, Inc.300142Agent - Health1/18/20186/8/2018
InactiveHumana Insurance Company301104Agent - Health1/18/20186/8/2018
InactiveHumana Insurance Company301104Agent - Life1/18/20186/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/18/20186/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/18/20186/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health1/18/20186/8/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/18/20186/8/2018
InactiveKanawha Insurance Company300127Agent - Life10/16/20131/31/2014
InactiveMedco Containment Life Insurance Company301557Agent - Health10/11/20138/20/2014
InactiveSilverScript Insurance Company663526Agent - Health8/23/201911/30/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/20/20179/10/2018
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health12/20/20179/10/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20189/10/2018
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/9/20131/27/2014
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/20/20179/10/2018
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/19/201312/22/2014
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/3/201312/22/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health2/9/201811/30/2019
InactiveDesignated Agent Company Inc.681257Agent - Life2/9/201811/30/2019
InactiveHealthMarkets Insurance Agency Inc709727Agent - Health2/20/20181/29/2019
InactiveHealthMarkets Insurance Agency Inc709727Agent - Life2/20/20181/29/2019

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