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DEPARTMENT OF INSURANCE
Affiliations
Name
E.I.S. Inc.
DOIID
401029
NAIC NPN
7222854
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
4/17/1989
5/31/2003
Inactive
Resident
Agent
Health Maintenance Organization
3/8/1993
3/1/2001
Inactive
Resident
Agent
Health
4/17/1989
5/31/2003
* 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
5/31/2003
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
3/8/1993
3/1/2001
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
12/21/2001
5/31/2003
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/23/1999
5/31/2003
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/23/1999
5/31/2003
Inactive
Golden Rule Insurance Company
301943
Agent - Health
9/21/1989
12/2/2002
Inactive
Golden Rule Insurance Company
301943
Agent - Life
9/21/1989
12/2/2002
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
4/12/1996
5/9/2001
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
5/1/1996
3/31/1997
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
5/1/1996
3/31/1997
Inactive
United American Insurance Company
300910
Agent - Health
4/17/1989
5/31/2003
Inactive
United American Insurance Company
300910
Agent - Life
4/17/1989
5/31/2003
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
12/27/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
12/27/1995
3/31/1997
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/5/1999
12/31/2001
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/5/1999
12/31/2001
Inactive
Medlink Inc
400721
Agent - Health
3/2/1993
12/31/2001
Inactive
Medlink Inc
400721
Agent - Life
3/2/1993
12/31/2001
Inactive
Wilson, Harry E
312253
Agent - Health
4/17/1989
5/31/2003
Inactive
Wilson, Harry E
312253
Agent - Life
4/17/1989
5/31/2003
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