DEPARTMENT OF INSURANCE

Affiliations

Name	Requarth, Cynthia Anne	DOIID	1004604	NAIC NPN	17714218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/10/2018		10/31/2024
* 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	08/15/2024	10/31/2024

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	8/21/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/12/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/30/2018
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/12/2018
Active	Dental Care Plus Inc.	301495	Agent - Health	8/24/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/21/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/29/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/29/2018	4/8/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/10/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/10/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/10/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/10/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	8/30/2018
Active	Retiremed IQ, LLC	682484	Agent - Health	9/21/2018