DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lister, Larry Dwayne	DOIID	1359187	NAIC NPN	16156700

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/3/2024		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2024	3/13/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/28/2025	10/21/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/28/2025	10/21/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/7/2025	3/6/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/7/2025	3/6/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/16/2025	3/5/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/21/2025	3/2/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/7/2025	3/6/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	2/18/2025
Inactive	Emphesys Insurance Company	300598	Agent - Health	10/24/2025	3/5/2026
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/2025	3/5/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/23/2025	12/22/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/28/2025	10/21/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2025	3/2/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/21/2025	3/2/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/19/2025	3/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	4/30/2025	3/3/2026