DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Sandra Brunjes	DOIID	1089419	NAIC NPN	7636981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/15/2020	10/31/2024
Active	Non Resident	Agent	Life	10/20/2021	10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	5/22/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/6/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/7/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/6/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/8/2021	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	5/7/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/24/2021	5/16/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/5/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/26/2021	9/20/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	1/5/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	5/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/11/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/22/2023
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/19/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/9/2022	7/2/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/9/2022	7/2/2024
Inactive	Humana Insurance Company	301104	Agent - Health	3/7/2022	5/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/13/2022	5/16/2024
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/2/2020	1/6/2021
Active	Lumico Life Insurance Company	300354	Agent - Health	4/6/2021
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/5/2020	2/2/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/14/2020	1/21/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/6/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/10/2020	1/8/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	10/30/2020	10/22/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/14/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020	5/30/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/8/2020	5/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	8/28/2020	3/19/2021
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/3/2020	1/31/2021