DEPARTMENT OF INSURANCE

Course Attendance Information

PR01597: Kentucky Self Insurers Association
Experior Provider Number:	S16710
Provider Type:	Independent
Certification Date:	7/26/2011
Address:	5932 Timber Ridge Dr. Ste. 101 Prospect, KY 40059
Contact:	Angela Underwood
Telephone:	502-223-5322
Status:	Active
Termination Date:	N/A
View Instructors

Course Attendees

Course Name : 2022MedicareSecondaryPayerUpdateonWorkersCompInsPr
DOI ID	Name	Completion Date	Compliance Date
303142	Bielefeld, Deanna J	05/16/2022	05/31/2022
554693	Howard, Pennye	05/16/2022	05/31/2023
632733	Cahill, Erin V	05/16/2022	03/31/2024
373880	Ernspiker, Laura A	05/16/2022	11/30/2022
311715	Freedman, Marilyn Gail	05/16/2022	12/31/2022
549709	Goldener, Kristi Gail	05/16/2022	01/31/2024
344074	Kleier, Cindy	05/16/2022	04/30/2023
343652	Martin, Bernita Sue	05/16/2022	11/30/2023
383631	McCubbins, Elizabeth Rose	05/16/2022	12/31/2022
322004	Meredith, Edward W	05/16/2022	03/31/2024
325115	Smith, Debra D	05/16/2022	06/30/2023
367394	Brown, Kristi Jane	05/16/2022	12/31/2022
378027	Smith, Sonia L	05/16/2022	10/31/2023
382379	Wheatley, Mary Patricia	05/16/2022	11/30/2023
643894	Blevins, Janie Lynn	05/16/2022	03/31/2024
327332	Burch, David A	05/16/2022	05/31/2022
303039	Massey, Leigh Anne	05/16/2022	09/30/2022
327733	Wheatley, Charles Brian	05/16/2022	02/29/2024
724280	Perkins, Cindy Anne	05/16/2022	11/30/2023
345309	Payton, Desiree Lynn	05/16/2022	10/31/2022
333847	Crawford, Tracy Lynn	05/16/2022	01/31/2024
514032	Dale, Sharon Elaine	05/16/2022	11/30/2023
316780	Jones, Dorothea	05/16/2022	05/31/2023
710766	Miller, Cassie Rae	05/16/2022	12/31/2023
1151877	Hanson, Tara	05/16/2022	10/31/2023
1025340	Hardin, Ashley M	05/16/2022	01/31/2023
554751	Aldridge, Crystal Michelle	05/16/2022	09/30/2023
796700	Bell, Tina Ann	05/16/2022	06/30/2022
336479	Gabbard, Angela Marie	05/16/2022	11/30/2021
311798	Truax, Cathy Marie	05/16/2022	03/31/2023
358127	Layman Huff, Karen Marie	05/16/2022	04/30/2024
308627	Johnson, Venise W.	05/16/2022	04/30/2024
707566	Kilgore, Angela Cher	05/16/2022	03/31/2023
313195	Long, Judy Bartlett	05/16/2022	11/30/2022
347534	McIntosh, Robin C	05/16/2022	01/31/2024
549323	Askins, Julia A	05/16/2022	03/31/2024
335649	Bishop, Denise S	05/16/2022	01/31/2024
998251	Miller, Rachel Lynn	05/16/2022	02/28/2023
390625	Patrick, Doyle F	05/16/2022	07/31/2023
326796	Taylor, Barbara J	05/16/2022	08/31/2022
526015	Thompson, Hope	05/16/2022	10/31/2023
883746	Wilson, Robert Wayne	05/16/2022	12/31/2023
566958	Wilson, Sandra Kay	05/16/2022	06/30/2022
535240	Milam, Penny Michelle	05/16/2022	08/31/2023
338657	Elliott, Lisa M	05/16/2022	09/30/2022
864490	Senters, Kristine L	05/16/2022	02/29/2024
619543	Sharp, Christina G	05/16/2022	05/31/2023
339619	Stayton, Traci L	05/16/2022	10/31/2022
580906	Ballinger, Dana Marie	05/16/2022	09/30/2023

PR01597: Kentucky Self Insurers Association