DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Banks, Delores	DOIID	861835	NAIC NPN	17325015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/24/2014	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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/10/2014	10/15/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/23/2016	3/17/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/4/2016	3/17/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2016	12/22/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/3/2016	12/22/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/3/2016	12/22/2016

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	12/10/2014	10/15/2015
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/6/2016	3/17/2017