DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	CaremarkPCS Health, L.L.C.	DOIID	548333	NAIC NPN	6375548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/17/2015		3/31/2028
Active	Non Resident	Pharmacy Benefit Managers	Not Applicable	12/21/2016		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Evans, Alicia S	641536	Administrator - Not Applicable	10/23/2006	3/30/2009
Active	Moffatt, Thomas Swift	872186	Administrator - Not Applicable	3/17/2015
Active	Moffatt, Thomas Swift	872186	Administrator - Not Applicable	12/21/2016
Inactive	Powers, Mercedes Lee	704042	Administrator - Not Applicable	4/20/2009	1/15/2015
Inactive	Shearer, Shawn Eric	569307	Administrator - Not Applicable	5/6/2003	11/2/2004
Inactive	Wala, Laurel Irene	552906	Administrator - Not Applicable	6/19/2002	5/6/2003