DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Delivrance, Finder	DOIID	892695	NAIC NPN	17699893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/17/2017		5/31/2027
* 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	03/15/2025	05/31/2025	04/11/2025	04/11/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/2/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/2/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/10/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/16/2023	12/12/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/16/2021	12/12/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/18/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2017	5/10/2018
Active	Humana Insurance Company	301104	Agent - Health	10/29/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/22/2021	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/3/2017	5/10/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/30/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	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	6/10/2020	2/10/2025