DEPARTMENT OF INSURANCE
Affiliations
NameProspective Risk Management LLCDOIID831956NAIC NPN17147142
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/21/2014 3/31/2026
ActiveNon ResidentAgentHealth1/21/2014 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana Health Plan, Inc.300142Agent - Health7/18/20145/2/2017
InactiveHumana Insurance Company301104Agent - Health7/18/201412/8/2015
InactiveHumana Insurance Company301104Agent - Life7/18/201412/8/2015
InactiveKanawha Insurance Company300127Agent - Health7/18/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/18/201410/22/2015
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/29/201612/17/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/29/201612/17/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/29/201612/17/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/18/202212/17/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCape, Julie 915182Agent - Health5/15/2020 
ActiveCape, Julie 915182Agent - Life5/15/2020 
ActiveFoster, T Eric 701444Agent - Health5/15/2020 
DeniedFoster, T Eric 701444Agent - Life  
InactiveMyers, William P 506339Agent - Health5/23/20165/24/2016
InactiveMyers, William P 506339Agent - Life5/23/20165/24/2016
InactiveObanion, Jacqualine Kay 805611Agent - Health5/26/20165/4/2020
InactiveObanion, Jacqualine Kay 805611Agent - Life5/26/20165/4/2020

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