PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameWalmart Insurance Services LLCDOIID1087685NAIC NPN19555670
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/29/2020 3/31/2026
ActiveNon ResidentAgentCasualty5/3/2022 3/31/2026
ActiveNon ResidentAgentTravel 11/28/2023 3/31/2026
ActiveNon ResidentAgentProperty5/3/2022 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/31/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/1/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health12/14/2020 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/202210/31/2023
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveDental Concern Inc. (The)301641Agent - Health1/17/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/11/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health11/16/2020 
ActiveHumana Insurance Company301104Agent - Health10/21/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health12/8/2020 
ActiveIndependence American Insurance Company524747Agent - Casualty6/26/2024 
ActiveIndependence American Insurance Company524747Agent - Property6/26/2024 
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health3/23/20237/4/2025
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/16/202010/31/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/16/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/16/202010/31/2023
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllred, Anthony Troy 1102271Agent - Health7/14/20228/21/2023
InactiveBaker-Culton, Stephanie Suzette 1093309Agent - Health8/20/20204/20/2021
InactiveBell, Angela B 1092928Agent - Health9/28/20209/29/2020
InactiveBlaski, Lori Lynn 790945Agent - Health8/18/20201/18/2021
InactiveBuono, Christina 1216208Agent - Health7/16/20226/12/2023
InactiveCarrera, Carina 1093151Agent - Health9/4/20208/21/2023
InactiveCarroll, Rhonda Michelle 1092930Agent - Health8/18/20208/13/2021
InactiveCayton, Jonathan Edward 1092825Agent - Health8/21/20209/13/2021
InactiveClark, Fredda Lyn 979173Agent - Health7/31/20209/29/2020
DeniedColeman, Robin Renee 1093238Agent - Health  
InactiveCormier, Lora M 1093140Agent - Health8/21/20203/5/2021
InactiveDavis, Connie 1216061Agent - Health7/22/20228/21/2023
InactiveDemelli, Walter 792605Agent - Health8/21/20201/18/2021
InactiveDorsey, Joel Anthony 1152329Agent - Health9/2/20216/7/2022
InactiveDuncan, Barry Patrick 789474Agent - Health9/2/202011/13/2020
InactiveEckols, Jerry 1051479Agent - Health8/12/20218/21/2023
InactiveEdwards, Nathel 1014274Agent - Health9/2/20208/21/2023
InactiveFews, Kenneth Anthony 1028831Agent - Health8/21/202011/11/2020
InactiveFord, Stephanie 1096139Agent - Health9/9/20206/2/2021
InactiveFulytar, Rachel Sue 1216872Agent - Health7/31/20228/21/2023
InactiveGinn, Cherilyn Kay 1093445Agent - Health8/21/20208/21/2023
InactiveHarris-Williams, Demechtria 1093291Agent - Health9/3/20201/18/2021
InactiveHerd, Leroy Wayne 790140Agent - Health8/21/20203/25/2021
InactiveJackson, Fredric L 626947Agent - Health8/11/20213/1/2022
InactiveJaurigue, Verenice 1218793Agent - Health8/2/20228/21/2023
InactiveJohnson, Martin D 1154665Agent - Health8/26/20213/24/2022
InactiveKalimah, Jameel Faquir 623767Agent - Health9/17/20208/21/2023
ActiveMcLean, Carrie Ann 666122Agent - Health7/31/2020 
InactiveMcrae Ebe, Chenetta Lashayda 895665Agent - Health9/3/20209/20/2021
InactiveMinard-Rivera, Deana Marie 1091628Agent - Health9/9/20204/4/2024
InactiveMollohan Aguilar, Tammy Renee 1218011Agent - Health7/21/20228/21/2023
InactiveMora, Rajea Marie 1149977Agent - Health8/16/20218/21/2023
InactiveNegrette, Gabriel 1222079Agent - Health8/9/20227/31/2023
InactiveOliver, Sanne Quatif 825655Agent - Health8/21/20208/21/2023
InactivePrice, Stacey Nicolle 786879Agent - Health9/17/20201/18/2021
InactiveRasheed, Theodis Ali 692310Agent - Health8/12/202110/11/2021
InactiveRobertson, Jida Sherita 1093464Agent - Health9/2/20205/25/2022
InactiveRobinson, Alisa 895014Agent - Health8/18/20209/2/2021
InactiveRobinson, Colina A 1013190Agent - Health9/2/20208/21/2023
InactiveRodriguez, Paloma 1215510Agent - Health7/16/20228/21/2023
InactiveRubalcaba, Tanya 1221849Agent - Health8/8/20228/21/2023
InactiveSamara, Elizabeth L 1092926Agent - Health8/18/20206/14/2021
InactiveSanchez, Felipe Jesus 785771Agent - Health8/11/20218/21/2023
InactiveScholta, Lanie Louise 1216556Agent - Health7/28/20225/15/2023
InactiveSpeed, Andre D 1093315Agent - Health9/4/20201/18/2021
InactiveStrickland, Calvin 1217417Agent - Health7/19/20228/21/2023
ActiveSullivan, David Brian 895882Agent - Casualty5/3/2022 
ActiveSullivan, David Brian 895882Agent - Health6/29/2020 
ActiveSullivan, David Brian 895882Agent - Property5/3/2022 
ActiveSullivan, David Brian 895882Agent - Travel 11/28/2023 
InactiveVann, Kenneth Pariss 1093281Agent - Health8/21/20209/10/2021
InactiveWestover, Jeanette L 986186Agent - Health8/21/20203/11/2021
InactiveWhaley, Kody 1216190Agent - Health7/20/20228/31/2022
InactiveWilliams, Collette Veronica 1069872Agent - Health7/31/20208/13/2021
InactiveWilson, Jared Rustin 1093125Agent - Health9/3/202012/3/2020
InactiveWright, Daphanie Price 1092896Agent - Health8/24/20209/16/2021
ActiveYoung, Phillip Jerome 1093132Agent - Health8/18/2020 

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