DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellison, Dawne Stephany	DOIID	796711	NAIC NPN	4623592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/28/2022		9/30/2025
Inactive	Non Resident	Agent	Life	11/5/2012	9/30/2015
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/20/2012	3/29/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/20/2012	3/29/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/20/2012	3/29/2013
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/2/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	6/16/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/5/2014	5/6/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/5/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/5/2014	5/6/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/5/2014	5/6/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/5/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2014	5/6/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2014	5/6/2015
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/12/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	6/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geozoning Inc	832332	Agent - Health	12/21/2022