DEPARTMENT OF INSURANCE

Affiliations

Name	Blackmon, Gary Wayne	DOIID	1047841	NAIC NPN	2674529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/12/2024		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/3/2024	4/7/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/16/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/16/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/16/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/8/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/6/2019	5/31/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/26/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/12/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/14/2019	12/8/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/8/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/24/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	3/18/2024	1/16/2025
Active	Humana Insurance Company	301104	Agent - Health	1/21/2025
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/17/2020	5/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/18/2019	5/31/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/22/2024
Active	SilverScript Insurance Company	663526	Agent - Health	2/16/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/8/2020	5/31/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/12/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/24/2019	5/31/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2019	5/31/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/12/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019	4/8/2021

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	9/10/2019	5/31/2021