DEPARTMENT OF INSURANCE

Affiliations

Name	Blake-Dawkins, Kerriann	DOIID	959754	NAIC NPN	17597924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/23/2023	3/31/2025
Active	Non Resident	Agent	Life	8/23/2023	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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	9/24/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/24/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/10/2017	7/8/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	4/1/2022	2/8/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	4/1/2022	2/8/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/5/2022	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2017	9/17/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2017	9/17/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2018	12/15/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2017	6/15/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/10/2017	4/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/14/2022	4/3/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/14/2022	4/3/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/25/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/25/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2017	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/25/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/25/2017	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2017	12/8/2017
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/5/2022	3/31/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/24/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/30/2017	5/6/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/30/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	5/6/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/30/2017	5/6/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/27/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	3/31/2023
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	3/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/1/2017	9/17/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/1/2017	9/17/2021
Inactive	Optavise, LLC	671337	Agent - Life	11/17/2022	3/31/2023
Inactive	Optavise, LLC	671337	Agent - Health	11/17/2022	3/31/2023