DEPARTMENT OF INSURANCE
Affiliations
NameErvin, Khadijia SymoneDOIID930092NAIC NPN17998180
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/22/2016 11/30/2027
ActiveNon ResidentAgentLife1/4/2017 11/30/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAetna Health Inc. (PA)660717Agent - Health12/8/20169/18/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health7/5/201812/19/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health10/14/20209/18/2024
InactiveAetna Life Insurance Company301140Agent - Health12/8/20169/18/2024
InactiveAmerican Continental Insurance Company643130Agent - Life7/5/20188/11/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/26/20219/11/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/20219/11/2025
InactiveAnthem Life Insurance Company301209Agent - Health5/26/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/26/20214/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health2/27/20259/4/2025
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/23/201912/22/2020
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20225/14/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/20219/11/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/5/201812/19/2025
InactiveDental Concern Inc. (The)301641Agent - Health2/25/202012/15/2020
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/14/2024 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health12/8/20169/18/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/15/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/23/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/18/201812/10/2018
InactiveHumana Insurance Company301104Agent - Health1/8/20259/4/2025
InactiveHumana Insurance Company301104Agent - Life5/30/201812/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/23/20165/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health5/30/201812/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/30/201812/15/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health1/9/201711/22/2017
InactiveOmaha Insurance Company751908Agent - Health1/9/201711/22/2017
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health1/4/20255/14/2025
InactiveSilverScript Insurance Company663526Agent - Health10/14/20209/18/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/9/201711/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/9/201711/22/2017
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/16/20205/14/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/15/20173/28/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/16/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/16/20205/14/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/15/20187/28/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/17/20197/28/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/5/20185/24/2021
InactiveDesignated Agent Company Inc.681257Agent - Life6/5/20185/24/2021
InactiveGohealth LLC691445Agent - Health11/29/20185/14/2025
InactiveGohealth LLC691445Agent - Life11/29/20184/15/2025
InactiveTZ Insurance Solutions LLC727470Agent - Health10/6/20162/8/2018

© Commonwealth of Kentucky. All rights reserved.