PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSample, Mandy DOIID898574NAIC NPN17774363
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth11/19/2015 4/30/2027
ActiveResidentAgentLife11/19/2015 4/30/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Health1/11/20179/29/2023
InactiveAmerican United Life Insurance Company300498Agent - Life1/11/20179/29/2023
InactiveAnthem Life Insurance Company301209Agent - Health1/25/20173/31/2025
InactiveAnthem Life Insurance Company301209Agent - Life1/25/20173/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life1/26/20173/31/2025
InactiveDesignated Agent Company Inc.681257Agent - Health1/26/20173/31/2025
InactiveKentucky Hospital Service Company of Kentucky, LLC401254Agent - Life1/25/20172/23/2018
InactiveKentucky Hospital Service Company of Kentucky, LLC401254Agent - Health1/25/20172/23/2018

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