DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	White, Latasha	DOIID	1160649	NAIC NPN	19987112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2021		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/20/2021	8/29/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/19/2022	8/29/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/9/2022	8/29/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/25/2021	8/29/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/9/2022	8/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	3/25/2024	8/29/2024