DEPARTMENT OF INSURANCE

Affiliations

Name	Quattlebaum, Mark	DOIID	1065318	NAIC NPN	19260642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/14/2019	6/30/2026
Active	Non Resident	Agent	Life	11/14/2019	6/30/2026
* 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	7/14/2021	9/10/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/14/2021	9/10/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/14/2021	9/10/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/27/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/27/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	12/2/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	12/2/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/25/2019	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/27/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/4/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/27/2019	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2019	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/26/2019	12/13/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/14/2021	9/10/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/26/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/26/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/26/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/4/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/2/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	12/2/2019
Active	Gohealth LLC	691445	Agent - Health	2/16/2024