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DEPARTMENT OF INSURANCE
Affiliations
Name
Selph, Ethan Wayne
DOIID
936494
NAIC NPN
8682220
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
9/13/2023
8/31/2025
Active
Non Resident
Agent
Life
9/13/2023
8/31/2025
* 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
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
1/26/2017
8/31/2021
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Life
1/26/2017
8/31/2021
Inactive
American General Life Insurance Company
301585
Agent - Health
12/6/2016
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Life
12/6/2016
12/23/2019
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/17/2023
Active
Anthem Life Insurance Company
301209
Agent - Health
9/17/2023
Active
Anthem Life Insurance Company
301209
Agent - Life
9/17/2023
Active
CareSource Kentucky Co.
838179
Agent - Health
1/5/2024
Inactive
Federal Insurance Company
301144
Agent - Health
10/13/2017
8/31/2021
Active
Golden Rule Insurance Company
301943
Agent - Health
10/27/2023
Active
Golden Rule Insurance Company
301943
Agent - Life
10/27/2023
Inactive
Independence American Insurance Company
524747
Agent - Health
4/27/2017
12/11/2019
Inactive
LifeShield National Insurance Company
737111
Agent - Health
12/14/2018
8/31/2021
Active
Lumico Life Insurance Company
300354
Agent - Life
10/27/2023
Active
Molina Healthcare of Kentucky, Inc.
1035856
Agent - Health
9/21/2023
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
4/5/2017
8/31/2021
Inactive
Unified Life Insurance Company
543169
Agent - Health
12/22/2016
12/12/2017
Active
WellCare Health Plans of Kentucky, Inc.
838592
Agent - Health
2/21/2024
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
1/16/2019
5/11/2021
Inactive
Designated Agent Company Inc.
681257
Agent - Health
1/16/2019
5/11/2021
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Life
4/13/2018
8/31/2021
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/13/2018
8/31/2021
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