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DEPARTMENT OF INSURANCE
Affiliations
Name
Eugene, Duval
DOIID
1051884
NAIC NPN
17929847
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
8/15/2019
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
04/11/2025
04/11/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accendo Insurance Company
300312
Agent - Health
9/10/2021
11/17/2023
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
5/30/2020
7/9/2021
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
1/9/2020
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/28/2020
7/9/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Health
5/30/2020
7/9/2021
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/5/2019
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
9/23/2021
12/19/2024
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/24/2021
Active
Arcadian Health Plan, Inc.
728196
Agent - Health
10/23/2024
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
3/20/2020
1/6/2025
Active
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/17/2021
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
1/9/2020
Active
Devoted Health Insurance Company of Kentucky, Inc.
1306593
Agent - Health
9/30/2024
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
6/22/2022
1/12/2023
Active
Humana Insurance Company
301104
Agent - Health
3/2/2023
Active
Humana Medical Plan, Inc.
801568
Agent - Health
6/12/2023
Inactive
SilverScript Insurance Company
663526
Agent - Health
5/30/2020
7/9/2021
Active
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
10/31/2019
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
10/31/2019
12/30/2021
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
9/5/2019
2/10/2025
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