DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, James C	DOIID	385302	NAIC NPN	1492016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/3/2012		1/31/2026
Active	Non Resident	Agent	Life	4/3/2012		1/31/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	12/8/1997	3/1/2001
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/7/1999	5/20/2005
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/15/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/8/1997	3/1/2001
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/4/2012	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/4/2012	3/31/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/5/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/5/1998	2/28/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	2/11/2025