DEPARTMENT OF INSURANCE

Affiliations

Name	Coventry Health Care Workers Compensation Inc	DOIID	1083742	NAIC NPN	9843522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	6/11/2020	3/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Losel, Jenni	576159	Administrator - Not Applicable	6/11/2020	3/31/2021