DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cornwall, Pauline Serene	DOIID	1013779	NAIC NPN	17755623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	5/9/2023		10/31/2025
Pending Replacement	Non Resident	Agent	Health	10/8/2018		10/31/2025
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/27/2025	9/5/2025
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	1/27/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/9/2025
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	9/9/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/19/2018	5/2/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/2/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	5/2/2023
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/27/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	5/2/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/27/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/2/2023	5/30/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/28/2021	12/13/2022
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	9/9/2025
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	5/27/2025
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/27/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	9/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/19/2018	2/10/2025