| Name: | CUSTOM HEALTH PLANS, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Non-profit |
| File Date: | 29 Jul 1993 (32 years ago) |
| Organization Date: | 29 Jul 1993 (32 years ago) |
| Last Annual Report: | 25 Apr 2002 (23 years ago) |
| Organization Number: | 0318289 |
| ZIP code: | 42431 |
| City: | Madisonville |
| Primary County: | Hopkins County |
| Principal Office: | 435 N. KENTUCKY AVE., MADISONVILLE, KY 42431 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| JAMES L. JOHNSON, M.D. | Director |
| BOBBY H. DAMPIER | Director |
| KEITH BACHMAN | Director |
| CARL VANNOY | Director |
| Joseph R Miller | Director |
| DANIEL W. DOCKREY | Director |
| LOMAN C. TROVER, M.D. | Director |
| DAN A. MARTIN | Director |
| Name | Role |
|---|---|
| Robert Groves | Vice President |
| Name | Role |
|---|---|
| Todd Dougan | Secretary |
| Name | Role |
|---|---|
| DANIEL W. DOCKREY | Incorporator |
| KIRK L. MILLER | Incorporator |
| Name | Role |
|---|---|
| BOBBY H. DAMPIER | Registered Agent |
| Name | Role |
|---|---|
| Todd Dougan | Treasurer |
| Name | Role |
|---|---|
| Bobby Dampier | Chairman |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Insurance | DOI ID 401295 | Agent - Health Maintenance Organization | Inactive | 1999-03-25 | - | 1999-11-18 | - | - |
| Department of Insurance | DOI ID 401295 | Agent - Life | Inactive | 1997-01-27 | - | 1998-12-30 | - | - |
| Department of Insurance | DOI ID 401295 | Agent - Health | Inactive | 1997-01-27 | - | 1998-12-30 | - | - |
| Department of Insurance | DOI ID 401295 | Administrator - Not Applicable | Inactive | 1994-03-23 | - | 2001-03-31 | - | - |
| Name | Status | Expiration Date |
|---|---|---|
| TROVER HEALTH PLANS | Inactive | 2003-07-15 |
| WESTERN KENTUCKY HEALTH SELECT | Inactive | 2003-07-15 |
| WESTERN KENTUCKY HEALTH ADVANTAGE | Inactive | 2003-07-15 |
| Name | File Date |
|---|---|
| Dissolution | 2002-12-06 |
| Annual Report | 2002-06-17 |
| Statement of Change | 2001-10-19 |
| Annual Report | 2001-05-18 |
| Annual Report | 2000-08-07 |
| Annual Report | 1999-07-19 |
| Annual Report | 1998-06-24 |
| Statement of Change | 1998-03-23 |
| Certificate of Assumed Name | 1997-07-28 |
| Annual Report | 1997-07-01 |
Sources: Kentucky Secretary of State
