DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kentuckiana Insurance Group LLC	DOIID	930966	NAIC NPN	18127454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/5/2021		3/31/2026
Inactive	Resident	Agent	Life	9/27/2016	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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	10/22/2016	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2016	3/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2016	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geremia, Angela M	711701	Agent - Health	11/5/2021
Inactive	Geremia, Angela M	711701	Agent - Life		11/5/2021