DEPARTMENT OF INSURANCE
Affiliations
NamePoulsen, Keawe DOIID1093668NAIC NPN16304750
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/27/2025 12/31/2025
ActiveNon ResidentAgentHealth8/13/2020 12/31/2025
* 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
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/11/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/11/20227/26/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/11/20227/26/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/21/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health5/11/20227/26/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/11/20202/21/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health11/11/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/11/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health11/11/20202/21/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/20/202012/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/20/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGohealth LLC691445Agent - Health2/16/2024 

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