DEPARTMENT OF INSURANCE

Name	Anthem Health Plans of Kentucky (TPA) DBA : Anthem Blue Cross and Blue Shield	DOIID	401292	NAIC NPN	67306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Administrator	Not Applicable	6/15/1998		3/31/2025
Inactive	Resident	Agent	General Lines	6/28/1993	3/31/1998

*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
Administrator	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	13550 Triton Park Boulevard Louisville, KY 40223

Phone Information

Type	Phone
Business / Home Office	(502) 889-2259