DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Briana Tess	DOIID	1057772	NAIC NPN	18488032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2019		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/20/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/20/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2019
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2019	3/19/2020
Active	SilverScript Insurance Company	663526	Agent - Health	2/20/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/22/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2019	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	11/12/2019	11/12/2021