DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kentuckiana Insurance Group LLC	DOIID	930966	NAIC NPN	18127454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/5/2021		3/31/2026
Inactive	Resident	Agent	Life	9/27/2016	3/31/2020
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2016	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2016	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2016	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geremia, Angela M	711701	Agent - Health	11/5/2021
Inactive	Geremia, Angela M	711701	Agent - Life		11/5/2021