DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Champagne, Amanda	DOIID	1237155	NAIC NPN	20458101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/27/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/13/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/13/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/14/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/31/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/13/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/27/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2022	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	8/17/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/8/2022	12/12/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/11/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2023
Active	Tier One Insurance Company	301056	Agent - Health	3/27/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024
Inactive	Trubridge Inc	717747	Agent - Health	8/14/2023	4/26/2024