DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortsakis, Ashley Christine	DOIID	1072133	NAIC NPN	19264815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/27/2020	4/30/2022
Inactive	Non Resident	Agent	Life	1/27/2020	4/30/2022
* 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	10/16/2020	3/3/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/16/2020	3/3/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/16/2020	3/3/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	4/30/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	4/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/1/2020	4/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/1/2020	4/30/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	4/30/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/16/2020	3/3/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/13/2020	4/30/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/13/2020	3/19/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/13/2020	4/30/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/13/2020	3/19/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/6/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/6/2020	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	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Life	7/19/2021	4/30/2022
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Health	7/19/2021	4/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/3/2020	4/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/3/2020	4/30/2022