DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	7/16/2021	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/10/2020	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2022	12/12/2024
Active	Security Benefit Life Insurance Company	300583	Agent - Health	7/29/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/9/2021
Active	Tier One Insurance Company	301056	Agent - Health	4/24/2025
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