DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Erica	DOIID	1011909	NAIC NPN	18857960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/26/2018		8/31/2024
* 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	06/15/2024	08/31/2024

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	10/5/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/5/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/23/2021
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
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/19/2020	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/22/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/1/2021	9/28/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/21/2023	9/28/2023
Inactive	Humana Insurance Company	301104	Agent - Health	4/29/2021	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/5/2020	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/5/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/22/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/22/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020	11/30/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/8/2020	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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2018	4/7/2020
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/24/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022