DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Owens, Debra S	DOIID	912420	NAIC NPN	1713962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/12/2016		10/31/2024
Active	Non Resident	Agent	Health	4/12/2016		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	4/19/2016
Active	Anthem Life Insurance Company	301209	Agent - Life	4/19/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/11/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/11/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/11/2016	12/13/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/27/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/27/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/27/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/27/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/29/2016	6/16/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/29/2016	6/16/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/29/2016	6/16/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/31/2022	6/16/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	4/19/2016
Active	Designated Agent Company Inc.	681257	Agent - Health	4/19/2016
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	12/16/2016	6/28/2019
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	12/16/2016	6/28/2019