DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackstock, Melissa Pierre	DOIID	971964	NAIC NPN	18518675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/28/2025		10/31/2026
Active	Non Resident	Agent	Health	8/28/2025		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/12/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	9/12/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2019	4/7/2020
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/18/2018	11/19/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/12/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/18/2018	11/19/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	6/18/2018	11/19/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	11/19/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/18/2018	11/19/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2019	10/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	10/31/2020

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 - Health	10/16/2019	10/31/2020