DEPARTMENT OF INSURANCE

Affiliations

Name	Richard, Kelis	DOIID	1055163	NAIC NPN	12826061

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/2/2024	3/31/2027
Active	Non Resident	Agent	Health	4/2/2024	3/31/2027
* 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	01/15/2027	03/31/2027

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	3/31/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/6/2024
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	6/24/2026
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	6/24/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/21/2020	8/18/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	8/18/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/3/2021	8/10/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/16/2024	2/16/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2019	4/21/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/7/2019	4/21/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/4/2024
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/16/2024	2/16/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/1/2020	3/8/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/1/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/16/2024	2/16/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/23/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/23/2020	12/29/2021

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 - Life	5/8/2020	8/18/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/21/2020	8/18/2021
Inactive	Ensurem II LLC	908041	Agent - Life	6/10/2021	8/18/2021
Inactive	Ensurem II LLC	908041	Agent - Health	6/10/2021	4/6/2022
Denied	Purpose Insurance Agency, LLC	1213960	Agent - Life
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	4/6/2024	7/17/2024