DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrasquillo, Evelyn	DOIID	1100984	NAIC NPN	19620764

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2020		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/30/2022
Active	CHA HMO, Inc.	300662	Agent - Health	9/20/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	8/30/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/26/2023
Active	Humana Insurance Company	301104	Agent - Health	8/30/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/8/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/3/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/5/2020	12/22/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/5/2020	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	5/30/2023