DEPARTMENT OF INSURANCE

Affiliations

Name	Purpose Insurance Agency, LLC	DOIID	1213960	NAIC NPN	20379027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2022	3/31/2026
Active	Non Resident	Agent	Life	6/29/2022	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/27/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/27/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/27/2023	4/15/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	6/5/2024
Active	Tier One Insurance Company	301056	Agent - Health	9/12/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bittorf, Camille	1004345	Agent - Health	5/22/2024	10/3/2024
Inactive	Bride, Tiffany Rene	311437	Agent - Health	1/19/2024	2/13/2025
Inactive	Bride, Tiffany Rene	311437	Agent - Life	1/19/2024	2/13/2025
Denied	Canale, Elaine Marie	1308354	Agent - Health
Denied	Canale, Elaine Marie	1308354	Agent - Life
Denied	Cedrez, Alexander Louis	1312157	Agent - Health
Denied	Cedrez, Alexander Louis	1312157	Agent - Life
Inactive	Chacon-Romero, Carla A	1191358	Agent - Health	11/21/2023	2/12/2025
Inactive	Couzens, Roseann Charmain	1210024	Agent - Health	11/8/2023	10/3/2024
Inactive	Crespo, Alberto Enrique	1217796	Agent - Health	3/14/2024	10/3/2024
Inactive	Cunningham, Tarrin R	1018740	Agent - Health	4/10/2024	7/17/2024
Denied	Eben, Tylynn Song	1329195	Agent - Health
Denied	Eben, Tylynn Song	1329195	Agent - Life
Inactive	Etlinger, Theodore Raymond	1201678	Agent - Health	11/6/2023	10/3/2024
Active	Fee, David Martin	696930	Agent - Health	6/29/2022
Active	Fee, David Martin	696930	Agent - Life	6/29/2022
Denied	Grandon, Lindsey	1305604	Agent - Health
Denied	Hardwick, Ashlee Narissa	1310828	Agent - Health
Denied	Hardwick, Ashlee Narissa	1310828	Agent - Life
Inactive	Henderson, William Earl	891680	Agent - Health	11/6/2023	10/3/2024
Inactive	Henderson, William Earl	891680	Agent - Life	11/6/2023	10/3/2024
Inactive	Hill, Gillis	1104897	Agent - Health	11/6/2023	7/17/2024
Inactive	Hill, Gillis	1104897	Agent - Life	11/6/2023	7/17/2024
Inactive	Johnson, Ateya	1210546	Agent - Health	11/6/2023	2/12/2025
Inactive	Johnson, Bryan Corey	1093823	Agent - Health	9/27/2023	2/12/2025
Inactive	Johnson, Bryan Corey	1093823	Agent - Life	9/27/2023	2/12/2025
Inactive	Johnson, Naquay	1159938	Agent - Health	4/10/2024	7/17/2024
Inactive	Jones, Bernar	1062848	Agent - Health	11/14/2023	2/2/2024
Inactive	Lopez, Carlos L	1181968	Agent - Health	11/18/2023	10/3/2024
Inactive	Lopez, Carlos L	1181968	Agent - Life	11/18/2023	10/3/2024
Inactive	Mager, Marc Adam	1082258	Agent - Health	9/27/2023	2/12/2025
Inactive	Mager, Marc Adam	1082258	Agent - Life	9/27/2023	7/4/2024
Inactive	Manning, Nakishia A	1146793	Agent - Health	3/14/2024	10/3/2024
Inactive	Manning, Nakishia A	1146793	Agent - Life	3/14/2024	10/3/2024
Inactive	Matias Cortes, Juan J	1190002	Agent - Health	6/3/2024	10/3/2024
Denied	Mcconnell, Gerald Edward	1301618	Agent - Health
Denied	Mcconnell, Gerald Edward	1301618	Agent - Life
Denied	Mcdermott, Mark	1241801	Agent - Health
Denied	Mcdermott, Mark	1241801	Agent - Life
Inactive	Middleton, Kari	1082295	Agent - Health	11/21/2023	10/3/2024
Inactive	Middleton, Kari	1082295	Agent - Life	11/21/2023	10/3/2024
Denied	Murphy, Loretta	1379811	Agent - Health
Denied	Murphy, Loretta	1379811	Agent - Life
Inactive	Owens, Star Lynn	1049973	Agent - Health	10/10/2023	2/12/2025
Inactive	Owens, Star Lynn	1049973	Agent - Life	10/10/2023	2/12/2025
Inactive	Ramirez, Claudia Ivonne	1047488	Agent - Health	5/2/2024	7/17/2024
Denied	Ramirez, Claudia Ivonne	1047488	Agent - Life
Inactive	Ramirez, Steven Orlando	1040391	Agent - Health	5/14/2024	10/3/2024
Inactive	Reid, Ronald Kelvin	1046937	Agent - Health	11/10/2023	3/19/2024
Inactive	Reid, Ronald Kelvin	1046937	Agent - Life	11/10/2023	3/19/2024
Inactive	Rice, Elizabeth Jane	1001812	Agent - Health	11/1/2023	2/12/2025
Inactive	Richard, Kelis	1055163	Agent - Health	4/6/2024	7/17/2024
Denied	Richard, Kelis	1055163	Agent - Life
Inactive	Snow, Judith Mitchell	942685	Agent - Health	11/1/2023	2/12/2025
Inactive	Snow, Judith Mitchell	942685	Agent - Life	11/1/2023	2/12/2025
Inactive	Vanderlaan, Eric Pieter	1143564	Agent - Health	6/11/2024	10/3/2024
Inactive	Vega, Luis M	1143566	Agent - Health	5/9/2024	5/29/2024
Inactive	Velasquez, Anthony Francisco	1208927	Agent - Health	9/24/2024	10/3/2024
Denied	Velasquez, Anthony Francisco	1208927	Agent - Life
Inactive	Ward, Melissa J	1029888	Agent - Health	11/29/2023	10/3/2024
Denied	Ward, Melissa J	1029888	Agent - Life
Inactive	Washington, Melissa Renee	1182463	Agent - Health	4/18/2024	7/17/2024