DEPARTMENT OF INSURANCE
Affiliations
NameArevalo, Jennifer CisnerosDOIID1087148NAIC NPN17606614
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/17/2024 12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202612/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health9/26/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/26/2024 
ActiveAetna Life Insurance Company301140Agent - Health9/26/2024 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/27/202010/10/2020
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/22/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/10/202010/6/2020
ActiveSilverScript Insurance Company663526Agent - Health9/26/2024 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/26/202010/16/2020
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/25/202010/16/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health6/29/202012/31/2022

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