DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Scotty Randall	DOIID	850098	NAIC NPN	17358194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/16/2014	6/1/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/22/2014	11/3/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/16/2015	7/28/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/10/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/10/2014	12/8/2015
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	10/7/2014	12/28/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/12/2015	6/7/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/10/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2014	5/12/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/10/2014	7/7/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/10/2014	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/10/2014	12/8/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	5/12/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/10/2014	10/22/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	4/9/2015	4/22/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2015	2/13/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	2/13/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/16/2015	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/13/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	2/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A And I LLC	847544	Agent - Health	7/10/2015	6/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2014	11/2/2016
Inactive	Medlink Inc	400721	Agent - Health	1/16/2015	6/1/2017
Inactive	Planchoice Inc.	400482	Agent - Health	1/7/2015	6/1/2017