DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrovic, Sandro	DOIID	1075160	NAIC NPN	19420531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/20/2020	4/30/2021
* 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	AXIS Insurance Company	301290	Agent - Health	4/2/2020	4/30/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/22/2020	4/30/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/22/2020	4/30/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/13/2020	4/30/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	3/31/2020	12/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/11/2020	5/4/2021
Inactive	Independence American Insurance Company	524747	Agent - Health	4/8/2020	4/30/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/19/2020	4/30/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/22/2020	4/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2020	4/30/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/30/2020	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/30/2020	4/8/2021

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	4/9/2020	4/30/2021