DEPARTMENT OF INSURANCE

Affiliations

Name	Open Access Insurance LLC	DOIID	1066981	NAIC NPN	19208296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/3/2019		3/31/2025
* 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	01/15/2025	03/31/2025

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	5/21/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/30/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/21/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/7/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/14/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/28/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/24/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/24/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/30/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/26/2019	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/11/2019	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/25/2021	12/13/2022
Active	Humana Insurance Company	301104	Agent - Health	5/28/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/1/2020	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	5/21/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/6/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/6/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/6/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/26/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/26/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bushman, Bryce Logan	952891	Agent - Health	12/3/2019