DEPARTMENT OF INSURANCE
Affiliations
NameEugene, Duval DOIID1051884NAIC NPN17929847
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/15/2019 5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/202504/11/202504/11/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAetna Health Inc. (PA)660717Agent - Health5/30/20207/9/2021
ActiveAetna Health and Life Insurance Company300523Agent - Health1/9/2020 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/28/20207/9/2021
InactiveAetna Life Insurance Company301140Agent - Health5/30/20207/9/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/5/2019 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/23/2024 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/20/20201/6/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/17/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/9/2020 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/30/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/22/20221/12/2023
ActiveHumana Insurance Company301104Agent - Health3/2/2023 
ActiveHumana Medical Plan, Inc.801568Agent - Health6/12/2023 
InactiveSilverScript Insurance Company663526Agent - Health5/30/20207/9/2021
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/31/2019 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/31/201912/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health9/5/20192/10/2025

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