DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Kristan Peta-Gay	DOIID	1065031	NAIC NPN	19344436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/12/2019		8/31/2025
* 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
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	1/13/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/13/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	7/13/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/1/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/13/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	7/13/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/13/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/19/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/24/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/24/2020	12/30/2021

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	1/13/2020	4/21/2022
Active	Humana MarketPOINT Inc.	398092	Agent - Health	5/11/2020