DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrelli, Ashley N	DOIID	925011	NAIC NPN	18050812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/17/2016	8/1/2018
* 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
Denied	Aetna Health and Life Insurance Company	300523	Agent - Health
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	8/10/2018
Denied	Chesapeake Life Insurance Company (The)	301017	Agent - Health
Denied	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/7/2016	6/8/2018
Denied	Golden Rule Insurance Company	301943	Agent - Health
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2016	8/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/30/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/30/2016	8/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/7/2016	8/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/30/2016	8/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	8/10/2018
Denied	Reserve National Insurance Company	301073	Agent - Health

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	11/23/2016	3/22/2018