DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson, Mary Anne	DOIID	1285621	NAIC NPN	17690486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/14/2023		11/30/2027
Active	Non Resident	Agent	Life	7/14/2023		11/30/2027
* 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	09/15/2025	11/30/2025	11/18/2025	11/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/13/2024	1/16/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/28/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/28/2025
Active	SilverScript Insurance Company	663526	Agent - Health	8/28/2025
Active	USAA Life Insurance Company	300734	Agent - Health	9/11/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/20/2023	7/2/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/20/2023	7/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	10/3/2025