DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ogburn, Mallory Ann	DOIID	741139	NAIC NPN	15999578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/30/2010		1/31/2026
Active	Resident	Agent	Life	11/30/2010		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/21/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/21/2019	4/15/2025
Inactive	Dental Care Plus Inc.	301495	Agent - Health	8/1/2017	3/31/2025
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	1/22/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/22/2019	4/15/2025
Active	Skyline Terrace, LLC	521297	Agent - Health	11/6/2017
Denied	Skyline Terrace, LLC	521297	Agent - Life