DEPARTMENT OF INSURANCE
Affiliations
NameVan Dyke, Alexandria Sharlisa ClairisseDOIID1248806NAIC NPN20564425
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/28/2022 11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/13/202311/17/2023
ActiveAetna Health Inc. (PA)660717Agent - Health2/10/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/10/2023 
ActiveAetna Life Insurance Company301140Agent - Health2/10/2023 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/12/2023 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health1/12/202312/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health1/12/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/25/2023 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health1/12/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/13/2023 
ActiveSilverScript Insurance Company663526Agent - Health2/10/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/25/2023 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/25/2023 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/25/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health6/25/2024 
ActiveRetiremed IQ, LLC682484Agent - Health12/18/2023 

© Commonwealth of Kentucky. All rights reserved.