DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chang, Nicolette Anne	DOIID	1295368	NAIC NPN	20825758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2023		7/31/2027
* 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	05/15/2025	07/31/2025	06/25/2025	06/25/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/18/2023	4/5/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/2/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/2/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/2/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/28/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/28/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/21/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/31/2023	5/26/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/28/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/30/2024
Active	Humana Insurance Company	301104	Agent - Health	12/19/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/20/2023
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/26/2024	5/26/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/2/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2023	5/26/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/31/2023	5/26/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	eHealthInsurance Services Inc.	514105	Agent - Health	9/8/2023