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DEPARTMENT OF INSURANCE
Affiliations
Name
Commonwealth Health Corporation
DBA : Center Care
DOIID
400683
NAIC NPN
4402528
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
3/31/1994
3/31/2010
Inactive
Resident
Agent
Life
3/31/1994
3/31/2010
Inactive
Resident
Agent
Health Maintenance Organization
4/3/1995
3/1/2001
* 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
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
3/31/2010
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
4/3/1995
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/28/1998
3/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/28/1998
3/31/2010
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
3/1/2001
3/31/2010
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
9/24/2001
11/22/2005
Inactive
First National Life Insurance Company
300833
Agent - Health
3/31/1994
2/14/1997
Inactive
First National Life Insurance Company
300833
Agent - Life
3/31/1994
2/14/1997
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Health
3/25/2003
1/7/2010
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
3/25/2003
1/7/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fones, John Mark
306203
Agent - Health
8/28/1998
2/25/2003
Inactive
Fones, John Mark
306203
Agent - Health Maintenance Organization
2/14/1997
3/1/2001
Inactive
Fones, John Mark
306203
Agent - Life
8/28/1998
1/16/2002
Inactive
Freeman, Victoria Ann
506615
Agent - Health
6/29/2000
7/1/2002
Inactive
Freeman, Victoria Ann
506615
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
Freeman, Victoria Ann
506615
Agent - Life
6/29/2000
7/1/2002
Inactive
Lucas, James Hackett
322068
Agent - Health Maintenance Organization
2/14/1997
7/1/1998
Inactive
McCartney, Tonya Gail Squires
363131
Agent - Health
8/28/1998
3/4/2003
Inactive
McCartney, Tonya Gail Squires
363131
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
McCartney, Tonya Gail Squires
363131
Agent - Life
8/28/1998
3/4/2003
Inactive
McGuinness, Sean P
316263
Agent - Health
8/28/1998
3/31/2010
Inactive
McGuinness, Sean P
316263
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
McGuinness, Sean P
316263
Agent - Life
8/28/1998
3/31/2010
Inactive
Mitchell, Kimberly Faye
341348
Agent - Health
10/13/1998
7/1/2002
Inactive
Mitchell, Kimberly Faye
341348
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
Mitchell, Kimberly Faye
341348
Agent - Life
10/13/1998
7/1/2002
Inactive
Murray, Jennifer Amanda
320777
Agent - Health
3/31/1994
3/31/1997
Inactive
Murray, Jennifer Amanda
320777
Agent - Life
3/31/1994
3/31/1997
Inactive
Reagan, Carla Jean
315312
Agent - Health
3/1/2001
3/4/2003
Inactive
Reagan, Carla Jean
315312
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
Reagan, Carla Jean
315312
Agent - Life
7/24/2000
3/4/2003
Inactive
Thomas, Brent B
337830
Agent - Health
8/28/1998
3/31/2010
Inactive
Thomas, Brent B
337830
Agent - Health Maintenance Organization
7/24/2000
3/1/2001
Inactive
Thomas, Brent B
337830
Agent - Life
8/28/1998
3/31/2010
Inactive
Wilson, Teresa
352507
Agent - Health
8/28/1998
3/31/2010
Inactive
Wilson, Teresa
352507
Agent - Health Maintenance Organization
2/14/1997
3/1/2001
Denied
Wilson, Teresa
352507
Agent - Life
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