DEPARTMENT OF INSURANCE

Affiliations

Name	Ellen, Keisha	DOIID	860321	NAIC NPN	17087422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/8/2020	7/31/2023
Inactive	Non Resident	Agent	Life	11/10/2014	7/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2021	7/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/17/2021	7/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/17/2020	7/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/12/2021	7/31/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/21/2016	9/12/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/2/2020	3/5/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	3/5/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	3/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2015	4/18/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/21/2021	6/2/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/22/2021	9/20/2022
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	10/28/2015	7/31/2017
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	10/28/2015	7/31/2017
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	3/5/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/17/2021	7/31/2023
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/15/2015	10/3/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/9/2020	6/2/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/17/2020	7/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/4/2020	5/17/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/4/2020	5/17/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/4/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/4/2020	5/17/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/19/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/19/2020	12/30/2021

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	3/24/2015	12/20/2016
Denied	Designated Agent Company Inc.	681257	Agent - Life