DEPARTMENT OF INSURANCE

Affiliations

Name	Etienne, Marjorie	DOIID	1013271	NAIC NPN	18166854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/2/2018	8/31/2026
Active	Non Resident	Agent	Life	10/2/2018	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/9/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/9/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2019	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/19/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/31/2018	4/4/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/31/2018	4/4/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	9/19/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/4/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	4/11/2025
Active	Humana Insurance Company	301104	Agent - Health	9/19/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/14/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/28/2019	8/18/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/24/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/24/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Health	8/12/2020
Active	ReliaStar Life Insurance Company	301712	Agent - Life	8/12/2020
Active	SilverScript Insurance Company	663526	Agent - Health	5/18/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	8/13/2019	8/14/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/24/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/24/2021
Inactive	Unum Insurance Company	301499	Agent - Health	8/13/2019	8/14/2023
Inactive	Unum Insurance Company	301499	Agent - Life	8/13/2019	8/14/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/16/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2019	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	10/16/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Life	8/27/2024
Active	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2024
Active	Optavise, LLC	671337	Agent - Life	10/12/2018
Active	Optavise, LLC	671337	Agent - Health	10/12/2018