DEPARTMENT OF INSURANCE
Affiliations
NameClear ServiceDOIID1218050NAIC NPN20400520
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/21/2022 3/31/2026
ActiveNon ResidentAgentLife7/21/2022 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
ActiveAetna Health Inc. (PA)660717Agent - Health9/16/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/16/2022 
ActiveAetna Life Insurance Company301140Agent - Health9/16/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/1/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health2/1/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health2/1/2023 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/19/2022 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health2/2/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/28/2022 
InactiveCareSource Kentucky Co.838179Agent - Health5/11/20235/26/2023
ActiveCompcare Health Services Insurance Corporation948751Agent - Health2/1/2023 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health11/15/2024 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health2/2/2023 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/5/202212/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/4/202212/12/2024
ActiveHumana Insurance Company301104Agent - Health10/18/2022 
InactiveHumana Medical Plan, Inc.801568Agent - Health11/4/202212/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/13/202312/12/2024
ActiveSilverScript Insurance Company663526Agent - Health9/16/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/28/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/28/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/28/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health7/24/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health7/24/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRipple, John 805736Agent - Health7/21/2022 
ActiveRipple, John 805736Agent - Life7/21/2022 

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