DEPARTMENT OF INSURANCE
Affiliations
NameDalebout, Kirt CharlesDOIID923168NAIC NPN17334096
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/5/2024 11/30/2025
InactiveNon ResidentAgentLife12/27/201611/30/2021 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life7/15/20207/26/2021
ActiveAetna Health Inc. (PA)660717Agent - Health11/8/2024 
InactiveAetna Health and Life Insurance Company300523Agent - Health9/17/20197/26/2021
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/8/2024 
ActiveAetna Life Insurance Company301140Agent - Health11/8/2024 
InactiveAetna Life Insurance Company301140Agent - Life9/13/201911/30/2021
InactiveAmerican Continental Insurance Company643130Agent - Life9/17/20197/26/2021
ActiveAmerican General Life Insurance Company301585Agent - Health8/2/2024 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/18/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/202111/30/2021
ActiveAnthem Insurance Companies, Inc.300941Agent - Health7/18/2024 
InactiveAnthem Life Insurance Company301209Agent - Health10/26/201911/30/2021
InactiveAnthem Life Insurance Company301209Agent - Life10/26/201911/30/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health11/15/201712/19/2019
InactiveCIGNA Health & Life Insurance Company301783Agent - Health11/16/202011/30/2021
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health1/5/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health7/18/2024 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/17/20197/26/2021
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/23/20217/26/2021
InactiveFirst Health Life & Health Insurance Company301735Agent - Health8/8/201611/30/2021
InactiveGPM Health and Life Insurance Company927255Agent - Health12/5/20191/3/2022
ActiveGolden Rule Insurance Company301943Agent - Health11/25/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/12/201912/15/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/15/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health8/15/201612/10/2018
ActiveHumana Insurance Company301104Agent - Health6/25/2024 
InactiveHumana Insurance Company301104Agent - Life10/22/201811/30/2021
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/15/20166/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health8/15/20166/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/15/2018
ActiveSilverScript Insurance Company663526Agent - Health11/8/2024 
InactiveUnited World Life Insurance Company300532Agent - Health12/14/20181/3/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health1/5/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201610/23/2017
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/24/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/5/2024 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/10/20245/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/201911/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarezone Financial Services LLC897339Agent - Health8/23/20165/28/2019
InactiveDesignated Agent Company Inc.681257Agent - Health9/7/201611/30/2021
InactiveQw Insurance Solutions, LLC1047634Agent - Health8/10/20207/12/2021

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