DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Larissa Shonntelle	DOIID	983715	NAIC NPN	18572224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/6/2018		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/14/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/30/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/14/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/24/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/14/2019
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/9/2021	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Geozoning Inc	832332	Agent - Health	12/21/2022