DEPARTMENT OF INSURANCE

Affiliations

Name	Sidecar Health Insurance Solutions LLC	DOIID	1027229	NAIC NPN	18868486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/3/2019	3/31/2027
Active	Non Resident	Agent	Health	6/19/2019	3/31/2027
Active	Non Resident	Agent	Life	6/19/2019	3/31/2027
* 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
Administrator	01/15/2025	03/31/2025	03/18/2025	03/18/2025	Yes
Agent	01/15/2025	03/31/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SiriusPoint America Insurance Company	301148	Agent - Health	12/9/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Berlinger, Brandon	1168046	Agent - Health
Denied	Berlinger, Brandon	1168046	Agent - Life
Inactive	Blackburn, Aubrie Ann	1046148	Agent - Health	8/7/2019	1/31/2021
Inactive	Brooks, Holly Olivia	1126316	Agent - Health	7/6/2021	5/16/2023
Inactive	Burns, Tamisa Lyn	1045510	Agent - Health	12/28/2021	7/31/2023
Inactive	Faught, Keyanee	999698	Agent - Health	11/19/2021	3/31/2023
Inactive	Faught, Keyanee	999698	Agent - Life	11/19/2021	7/7/2022
Denied	Foderaro, Nicholas J	1169648	Agent - Health
Denied	Foderaro, Nicholas J	1169648	Agent - Life
Inactive	Gamoneda, Jasmine	1153763	Agent - Health	11/4/2021	5/16/2023
Denied	Hatch, Carter	1130317	Agent - Health
Inactive	Hayhurst, Stacey	1119949	Agent - Health	3/4/2021	4/5/2023
Denied	Hayhurst, Stacey	1119949	Agent - Life
Inactive	Hehl, Adam	999700	Agent - Health	11/19/2021	7/28/2023
Inactive	Hehl, Adam	999700	Agent - Life	11/19/2021	7/7/2022
Inactive	Lecuona, Edurne	1107902	Agent - Health	1/7/2021	8/2/2021
Denied	Lecuona, Edurne	1107902	Agent - Life
Inactive	Murray, Malia	1045321	Agent - Health	8/7/2019	11/17/2023
Pending Replacement	Nielsen, Michael A	1045326	Agent - Health	8/7/2019
Active	Quigley, Patrick	945203	Administrator - Not Applicable	4/3/2019
Active	Quigley, Patrick	945203	Agent - Health	6/19/2019
Active	Quigley, Patrick	945203	Agent - Life	6/19/2019
Denied	Roundy, Devin	1162078	Agent - Health
Inactive	Smith, Taylor	1045324	Agent - Health	8/7/2019	5/16/2023
Inactive	Snow, Danielle	1045316	Agent - Health	8/7/2019	9/15/2020