DEPARTMENT OF INSURANCE
Affiliations
NameFord, Mycarrier DOIID1161034NAIC NPN20067691
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/29/2025 8/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/15/20218/31/2023
InactiveAetna Health Inc. (PA)660717Agent - Health11/12/20218/31/2023
InactiveAetna Health and Life Insurance Company300523Agent - Health10/15/20218/31/2023
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/12/20218/31/2023
InactiveAetna Life Insurance Company301140Agent - Health11/12/20218/31/2023
ActiveArcadian Health Plan, Inc.728196Agent - Health10/24/2025 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/202212/27/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/15/20218/31/2023
ActiveEmphesys Insurance Company300598Agent - Health10/24/2025 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/2025 
ActiveHumana Health Plan, Inc.300142Agent - Health10/24/2025 
ActiveHumana Insurance Company301104Agent - Health10/24/2025 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/24/2025 
InactiveSilverScript Insurance Company663526Agent - Health11/12/20218/31/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/12/202212/27/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/12/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/12/202212/27/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHumana MarketPOINT Inc.398092Agent - Health11/16/2025 

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