DEPARTMENT OF INSURANCE

Affiliations

Name	Bucholtz, Saly Lor	DOIID	1050427	NAIC NPN	19189187

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/1/2019	5/31/2026
Active	Non Resident	Agent	Casualty	1/16/2020	5/31/2026
Active	Non Resident	Agent	Property	1/16/2020	5/31/2026
* 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	03/15/2026	05/31/2026

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	9/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/8/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/8/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/9/2019	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/1/2021	3/10/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2021	3/10/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/9/2019	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/6/2022	8/17/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/16/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/1/2021	3/10/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/9/2022	8/17/2022
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2019	12/15/2020
Inactive	JM Specialty Insurance Company	955215	Agent - Casualty	5/6/2020	9/16/2020
Inactive	JM Specialty Insurance Company	955215	Agent - Property	5/6/2020	9/16/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	1/17/2020	9/16/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	1/17/2020	9/16/2020
Active	SilverScript Insurance Company	663526	Agent - Health	9/8/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/31/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/31/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/4/2022	4/6/2023

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	8/16/2019	2/3/2025