DEPARTMENT OF INSURANCE
Affiliations
NameErvin, Khadijia SymoneDOIID930092NAIC NPN17998180
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/4/2017 11/30/2025
ActiveNon ResidentAgentHealth9/22/2016 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAetna Health Inc. (PA)660717Agent - Health12/8/20169/18/2024
ActiveAetna Health and Life Insurance Company300523Agent - Health7/5/2018 
InactiveAetna Health of Ohio Inc.1065035Agent - Health10/14/20209/18/2024
InactiveAetna Life Insurance Company301140Agent - Health12/8/20169/18/2024
InactiveAmerican Continental Insurance Company643130Agent - Life7/5/20188/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/26/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
InactiveAnthem Life Insurance Company301209Agent - Health5/26/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/26/20214/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health2/27/2025 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/23/201912/22/2020
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20225/14/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/5/2018 
InactiveDental Concern Inc. (The)301641Agent - Health2/25/202012/15/2020
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/14/2024 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health12/8/20169/18/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/15/202012/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/23/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health6/18/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health1/8/2025 
InactiveHumana Insurance Company301104Agent - Life5/30/201812/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/23/20165/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health5/30/201812/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/30/201812/15/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health1/9/201711/22/2017
InactiveOmaha Insurance Company751908Agent - Health1/9/201711/22/2017
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health1/4/20255/14/2025
InactiveSilverScript Insurance Company663526Agent - Health10/14/20209/18/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/9/201711/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/9/201711/22/2017
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/16/20205/14/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/15/20173/28/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/16/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/16/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/16/20205/14/2025
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/15/2018 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/17/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/5/20185/24/2021
InactiveDesignated Agent Company Inc.681257Agent - Life6/5/20185/24/2021
InactiveGohealth LLC691445Agent - Health11/29/20185/14/2025
InactiveGohealth LLC691445Agent - Life11/29/20184/15/2025
InactiveTZ Insurance Solutions LLC727470Agent - Health10/6/20162/8/2018

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