DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, Elizabeth	DOIID	1093289	NAIC NPN	19546426

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/11/2020		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2020	12/13/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/22/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	10/27/2020	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/7/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/29/2021	12/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	TZ Insurance Solutions LLC	727470	Agent - Health
Denied	Trubridge Inc	717747	Agent - Health