DEPARTMENT OF INSURANCE

Affiliations

Name	Moultrie, Thelma Larnetta	DOIID	823748	NAIC NPN	6824114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/18/2017	11/30/2019
Inactive	Non Resident	Agent	Life	12/18/2017	11/30/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	1/3/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/3/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/3/2018	11/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/9/2018	11/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/9/2018	11/30/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/18/2018	6/8/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/9/2013	11/30/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/9/2013	11/30/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/18/2017	8/13/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/18/2017	8/13/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	11/30/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014	11/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/18/2018	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/3/2018	11/30/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/12/2018	10/11/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/12/2018	10/11/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/18/2018	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/5/2014	11/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2018	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/18/2018	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/18/2018	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/18/2018	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/18/2018	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/18/2018	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/18/2018	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/16/2013	1/31/2014
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	10/11/2013	8/20/2014
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	11/30/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/20/2017	9/10/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	12/20/2017	9/10/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	9/10/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/9/2013	1/27/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/20/2017	9/10/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/19/2013	12/22/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/3/2013	12/22/2014

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	2/9/2018	11/30/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/9/2018	11/30/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	2/20/2018	1/29/2019
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	2/20/2018	1/29/2019