DEPARTMENT OF INSURANCE
Affiliations
NameQHP Enrollment Resources
DBA : Enrollments-Medicare, Etc.
DOIID880019NAIC NPN17613424
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife7/2/20153/31/2019 
InactiveResidentAgentHealth6/9/20153/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/2/201510/20/2018
InactiveAnthem Life Insurance Company301209Agent - Health7/6/201510/20/2018
InactiveAnthem Life Insurance Company301209Agent - Life11/9/201710/20/2018
InactiveArcadian Health Plan, Inc.728196Agent - Health11/13/20176/15/2018
InactiveDental Concern Inc. (The)301641Agent - Health11/13/20176/15/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/13/20176/15/2018
InactiveHumana Health Plan, Inc.300142Agent - Health11/13/20176/15/2018
InactiveHumana Insurance Company301104Agent - Health11/13/20174/9/2019
InactiveHumana Insurance Company301104Agent - Life11/13/20174/9/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/13/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/13/20176/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health11/13/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/13/20176/15/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/3/20151/23/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20181/23/2019
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/23/201512/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/23/20151/23/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMitchell, Vanessa Kaye 577795Agent - Health6/9/20153/31/2019
InactiveMitchell, Vanessa Kaye 577795Agent - Life7/2/20153/31/2019

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