DEPARTMENT OF INSURANCE

Affiliations

Name	Blackmon, Dana	DOIID	921967	NAIC NPN	17711467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/24/2022		2/28/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/29/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/27/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/29/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/29/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/9/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/9/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/9/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/25/2023	7/16/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/28/2018	4/17/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/17/2023	7/12/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/9/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/27/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Insurance Company	301104	Agent - Health	6/23/2023	7/16/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/25/2016	12/5/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/5/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/3/2018	6/17/2019
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/26/2022	1/3/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/29/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	9/3/2018	6/17/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/3/2018	6/17/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/27/2023	7/12/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/26/2022	12/22/2022
Denied	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2023	7/12/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/26/2016	12/5/2017