DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Latricha Shannel	DOIID	917854	NAIC NPN	8909644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/9/2016	2/28/2019
Inactive	Non Resident	Agent	Life	6/9/2016	2/28/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/8/2017	2/28/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/8/2017	2/28/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	2/28/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/30/2017	11/20/2017
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	11/15/2016	12/27/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/30/2017	11/20/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/30/2017	11/20/2017
Inactive	Humana Insurance Company	301104	Agent - Health	5/30/2017	11/20/2017
Inactive	Humana Insurance Company	301104	Agent - Life	5/30/2017	11/20/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/30/2017	11/20/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/30/2017	11/20/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/30/2017	11/20/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/30/2017	11/20/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/30/2017	11/20/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2016	2/6/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	2/6/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/12/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/12/2016	2/6/2018

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 - Life	7/10/2017	2/28/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/10/2017	2/28/2019
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	9/2/2016	2/28/2019
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017	2/28/2019