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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2026	01/31/2027

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
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/21/2022	12/19/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/30/2014	3/19/2015
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/14/2025
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