DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kopan, Molly	DOIID	1000717	NAIC NPN	18832731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/23/2021		11/30/2024
Active	Non Resident	Agent	Health	10/6/2021		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/8/2021	12/13/2022
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/29/2021	8/10/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/8/2021	8/17/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/2/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/8/2021	8/17/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/2/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/11/2021	8/17/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/2/2018	12/10/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/4/2022	9/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	12/5/2018	6/11/2019