DEPARTMENT OF INSURANCE

Affiliations

Name	Blackwelder, Ralph A	DOIID	390576	NAIC NPN	2755543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/14/2011	8/31/2026
Active	Non Resident	Agent	Health	9/14/2011	8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	3/30/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/4/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/4/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/4/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/1/2018	4/24/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	3/30/2021	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/16/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Combined Insurance Company of America	301472	Agent - Health	4/15/2020
Active	Combined Insurance Company of America	301472	Agent - Life	4/15/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/25/2019	12/12/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/7/2021	12/12/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/1/2018	4/25/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/29/2013	6/15/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/29/2013	6/15/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2019	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/30/2020	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	12/30/2020	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/20/2011	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/2/2016	5/2/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/8/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/8/2014	10/22/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/18/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/18/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	8/25/2017	8/8/2018
Inactive	Primerica Life Insurance Company	300970	Agent - Health	5/9/1995	9/28/1998
Inactive	Primerica Life Insurance Company	300970	Agent - Life	5/9/1995	9/28/1998
Active	SilverScript Insurance Company	663526	Agent - Health	10/28/2015
Inactive	Time Insurance Company	300683	Agent - Health	8/26/2014	3/2/2016
Inactive	Time Insurance Company	300683	Agent - Life	8/26/2014	3/2/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	12/26/2018	10/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/10/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/10/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/10/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/10/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	12/28/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benefits All In LLC	1082624	Agent - Life	4/30/2020
Active	Benefits All In LLC	1082624	Agent - Health	4/30/2020
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	12/20/2011	6/15/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	12/20/2011	6/15/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	6/15/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	6/15/2014
Active	Enrollment Management Services LLC	1002684	Agent - Life	7/27/2018
Active	Enrollment Management Services LLC	1002684	Agent - Health	7/27/2018