DEPARTMENT OF INSURANCE
Affiliations
NameInsurance Solution ServicesDOIID1088360NAIC NPN19468436
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/7/2020 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health11/11/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/11/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/11/2020 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/9/202112/16/2024
ActiveArcadian Health Plan, Inc.728196Agent - Health12/10/2020 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/24/2022 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/24/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/3/2020 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health2/3/2023 
ActiveHumana Health Plan, Inc.300142Agent - Health12/18/2023 
ActiveHumana Insurance Company301104Agent - Health11/2/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health7/12/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health6/16/2022 
ActiveSilverScript Insurance Company663526Agent - Health11/11/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBushman, Bryce Logan 952891Agent - Health9/28/2021 
InactiveDunn, Shawn Blair 627038Agent - Health7/7/20209/28/2021

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