DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Informed Choice Insurance	DOIID	1096943	NAIC NPN	19622164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/8/2020		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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/9/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	3/9/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/17/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/25/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2022
Active	Humana Insurance Company	301104	Agent - Health	7/16/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/10/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2022
Active	SilverScript Insurance Company	663526	Agent - Health	3/9/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/25/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/21/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/21/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pungello, Richard Tomas	759354	Agent - Health	9/8/2020