DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coverage Champions Insurance Agency LLC	DOIID	1386910	NAIC NPN	21466407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/27/2025		3/31/2027
Active	Non Resident	Agent	Health	4/3/2025		3/31/2027
Denied	Non Resident	Agent	Casualty
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/8/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/29/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/29/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/3/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/29/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/24/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/8/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/30/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/30/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ashmead, Latoya	893469	Agent - Health	7/2/2025
Active	Dempsey, Benjamin Moore	617497	Agent - Health	4/3/2025
Active	Dempsey, Benjamin Moore	617497	Agent - Life	2/27/2025
Active	Lichon, Carrie Ann	1362006	Agent - Health	7/2/2025
Pending	Lichon, Carrie Ann	1362006	Agent - Life
Active	Muntaser, Shirien H	1362003	Agent - Health	7/2/2025
Pending	Muntaser, Shirien H	1362003	Agent - Life
Active	Parke, Ricardo	775794	Agent - Health	7/2/2025