DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Derwonna	DOIID	1011210	NAIC NPN	17574605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2018		1/31/2025
* 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	11/15/2024	01/31/2025

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	5/2/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/2/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/6/2018
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/2/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/15/2024
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	6/15/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/20/2022
Active	Humana Insurance Company	301104	Agent - Health	2/27/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/2/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/1/2022

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	10/10/2018
Active	TZ Insurance Solutions LLC	727470	Agent - Health	6/19/2019