DEPARTMENT OF INSURANCE

Affiliations

Name	Quiroz, Lisa Diane	DOIID	1037670	NAIC NPN	19107154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/23/2019		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/13/2023	8/20/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/3/2019	9/24/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/5/2019	8/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	9/24/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/3/2019	9/24/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/10/2019	8/12/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	8/12/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	8/12/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/7/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	8/2/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/28/2023	10/14/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	8/12/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/5/2019	8/17/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/29/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/17/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/9/2019	12/15/2020
Active	Humana Insurance Company	301104	Agent - Health	5/15/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/28/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/8/2021	10/25/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/18/2021	1/14/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/26/2019	9/24/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	2/18/2021	1/14/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/18/2021	1/14/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2019	8/2/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/23/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/23/2019	8/2/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/17/2019	6/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/17/2019	6/1/2023

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	5/10/2019
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	5/15/2019	8/5/2024