DEPARTMENT OF INSURANCE

Affiliations

Name	Enrollment Management Services LLC	DOIID	1002684	NAIC NPN	15026668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2018	3/31/2026
Active	Non Resident	Agent	Life	7/27/2018	3/31/2026
Denied	Non Resident	Agent	Self-Service Storage Space
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/17/2020
Active	Accendo Insurance Company	300312	Agent - Life	3/17/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/2/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/17/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/31/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	3/17/2021	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/15/2018
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/25/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/4/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Combined Insurance Company of America	301472	Agent - Health	4/15/2020
Active	Combined Insurance Company of America	301472	Agent - Life	4/15/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	7/6/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/17/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/17/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/28/2023	12/12/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2024
Active	Humana Insurance Company	301104	Agent - Health	11/22/2021
Active	Medco Containment Life Insurance Company	301557	Agent - Health	1/11/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/10/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/10/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/10/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/10/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackwelder, Ralph A	390576	Agent - Health	7/27/2018
Active	Blackwelder, Ralph A	390576	Agent - Life	7/27/2018