DEPARTMENT OF INSURANCE

Affiliations

Name	Forbes, Melesia	DOIID	1063799	NAIC NPN	17450120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/11/2024		6/30/2026
Inactive	Non Resident	Agent	Life	11/1/2019	6/30/2022
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	5/20/2020	6/30/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/30/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/15/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/15/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	4/29/2020	12/1/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/26/2024	8/26/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/23/2024
Inactive	Federal Insurance Company	301144	Agent - Health	11/21/2019	6/30/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/12/2020	7/5/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/12/2020	7/5/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/2/2020	11/23/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/19/2019	6/29/2021
Inactive	National Health Insurance Company	300554	Agent - Health	4/7/2020	6/30/2022
Inactive	National Health Insurance Company	300554	Agent - Life	4/7/2020	6/30/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/15/2024
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	1/6/2020	9/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/22/2021	6/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2024	8/26/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/26/2024	8/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	8/26/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	5/11/2020	8/16/2022