DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Chicas Laurence	DOIID	1016351	NAIC NPN	18878847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2018		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/29/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/28/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/28/2021	3/29/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/28/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/12/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/12/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/5/2018	12/15/2020
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/22/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/28/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/3/2022	5/16/2024
Active	Humana Insurance Company	301104	Agent - Health	6/5/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/27/2022	5/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	8/8/2019	2/13/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/23/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/23/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/1/2022	5/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/30/2019	2/10/2025