DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	State Ins Agency Inc	DOIID	960529	NAIC NPN	957870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/17/2017	3/31/2021
Inactive	Non Resident	Agent	Life	7/17/2017	3/31/2021
* 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	2/21/2019	5/15/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/21/2019	5/15/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/21/2019	5/15/2019
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/10/2019	4/8/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/8/2020	3/31/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/17/2017	5/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/17/2017	5/31/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/17/2017	5/31/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/17/2017	4/30/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	3/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prati, Angelo	803030	Agent - Health	7/17/2017	3/31/2021
Inactive	Prati, Angelo	803030	Agent - Life	7/17/2017	3/31/2021