DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Philippe, Stayno Jean	DOIID	1060448	NAIC NPN	18705306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/11/2019	11/30/2021
Inactive	Non Resident	Agent	Life	10/11/2019	11/30/2021
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	7/23/2020	11/30/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/29/2021	10/30/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/29/2021	10/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/29/2021	10/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/29/2021	10/30/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	10/29/2019	12/1/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/29/2021	10/30/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/30/2019	12/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/30/2019	12/2/2021
Inactive	National Health Insurance Company	300554	Agent - Health	11/17/2020	11/30/2021
Inactive	National Health Insurance Company	300554	Agent - Life	11/17/2020	11/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2020	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/12/2019	11/30/2021