PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Workers Ins Services IncDOIID723800NAIC NPN8519803
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/16/2013 3/31/2026
ActiveNon ResidentAgentLife7/16/2013 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Health5/17/20174/15/2019
Inactive5 Star Life Insurance Company300673Agent - Life5/17/20174/15/2019
InactiveACE American Insurance Company300625Agent - Health3/12/20168/20/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/27/201912/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health8/27/201912/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life8/27/201912/16/2024
InactiveFederal Insurance Company301144Agent - Health12/29/20148/20/2019
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/9/20233/13/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrock, Harold L 393846Agent - Health5/8/2019 
ActiveBrock, Harold L 393846Agent - Life5/8/2019 
InactiveCurrent, Clarence Jaren 719815Agent - Health3/2/20106/6/2011
InactiveCurrent, Clarence Jaren 719815Agent - Life3/2/20106/6/2011
InactiveKhalil, Jennifer Fatima 894480Agent - Health10/7/20152/28/2019
InactiveKhalil, Jennifer Fatima 894480Agent - Life10/7/20152/28/2019
InactiveRabie, Shareef Mahmoud 739761Agent - Health7/16/20137/31/2015
InactiveRabie, Shareef Mahmoud 739761Agent - Life7/16/20137/31/2015

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