DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Revatta, Saylyny Sureyma	DOIID	1026318	NAIC NPN	18383726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/7/2024		4/30/2027
* 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	6/13/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/13/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/13/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/30/2019	10/23/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/28/2019	10/15/2019
Inactive	Humana Insurance Company	301104	Agent - Health	2/25/2019	10/15/2019
Active	SilverScript Insurance Company	663526	Agent - Health	6/13/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/28/2019	10/14/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	10/14/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/28/2019	10/14/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/28/2019	10/14/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2019	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	4/30/2021

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	1/30/2019	10/23/2019