DEPARTMENT OF INSURANCE

Affiliations

Name	Church, Brenda	DOIID	818781	NAIC NPN	17042672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/28/2013		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	Aetna Health Inc. (PA)	660717	Agent - Health	9/23/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/23/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/23/2014	4/20/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/28/2016	6/18/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/23/2018	12/10/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/23/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/23/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/8/2017	12/30/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/24/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/24/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/24/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/23/2018	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2015	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/28/2015	12/21/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	USAA Life Insurance Company	300734	Agent - Health	9/22/2022	11/10/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/7/2015	9/21/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/7/2015	6/7/2021
Active	Vision Service Plan Insurance Company	300526	Agent - Health	1/24/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2016	2/10/2025
Active	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	9/4/2020
Inactive	USAA Life General Agency Inc	399318	Agent - Health	2/4/2014	9/25/2014