DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Ruthann Vongerstenberg	DOIID	825550	NAIC NPN	4853799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2020		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/3/2023	4/7/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/24/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/29/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/24/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/25/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/20/2021	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/1/2020	5/28/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/29/2020
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/23/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/12/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	10/29/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/23/2022	12/12/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/2/2022
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	12/17/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/24/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/20/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/20/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	3/5/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/14/2021	3/4/2024

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	12/16/2013	4/30/2016
Active	eHealthInsurance Services Inc.	514105	Agent - Health	8/31/2020