DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Basunu, Sandra	DOIID	1055584	NAIC NPN	16966206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/10/2019	4/30/2021
Inactive	Non Resident	Agent	Health	9/10/2019	4/30/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2019	4/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/17/2019	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/4/2019	4/7/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/4/2019	4/7/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/9/2019	4/30/2021
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/16/2021	4/30/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/26/2019	4/30/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/28/2020	4/30/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/12/2019	4/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/17/2019	6/25/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/17/2019	6/25/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/17/2019	6/25/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/17/2019	6/25/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/6/2019	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/6/2019	4/30/2021

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 - Life	11/4/2019	4/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/4/2019	4/30/2021