DEPARTMENT OF INSURANCE

Affiliations

Name	Forgatch, Yolanda	DOIID	1094919	NAIC NPN	19220914

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2020		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/30/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/22/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/20/2021	11/28/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/22/2020
Active	American General Life Insurance Company	301585	Agent - Health	12/9/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/17/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/17/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/17/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/10/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/17/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/20/2021	11/28/2021
Active	Humana Insurance Company	301104	Agent - Health	11/3/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	3/28/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/18/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/12/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/10/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/17/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/4/2022	8/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/23/2023	5/15/2024
Active	eHealthInsurance Services Inc.	514105	Agent - Health	9/8/2023