DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blasiman, Elizabeth	DOIID	1053193	NAIC NPN	19244283

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/19/2021		1/31/2025
Active	Non Resident	Agent	Health	8/23/2019		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/10/2020	12/13/2022
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	4/26/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2023
Active	Humana Insurance Company	301104	Agent - Health	10/16/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/16/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/12/2021	12/13/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/25/2022	9/13/2024
Active	Washington National Insurance Company	300587	Agent - Health	9/17/2024
Active	Washington National Insurance Company	300587	Agent - Life	9/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	12/3/2023
Active	Trubridge Inc	717747	Agent - Life	12/3/2023