DEPARTMENT OF INSURANCE

Affiliations

Name	Mompremier-Maddox, Lautie	DOIID	852499	NAIC NPN	17357915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/24/2019		1/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	12/21/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/9/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/21/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/9/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	6/9/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/12/2019	2/15/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/16/2021	2/15/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	2/15/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	5/10/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/30/2014	3/19/2015
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	2/15/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/21/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2014	3/19/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/20/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/20/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/20/2016	1/31/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/30/2014	3/19/2015
Active	SilverScript Insurance Company	663526	Agent - Health	6/9/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/14/2022	1/2/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/14/2022	1/2/2023

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	10/16/2019	2/16/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/19/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023