DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Governale, Miriam	DOIID	1102709	NAIC NPN	19636046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/9/2020		10/31/2024
* 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	08/15/2024	10/31/2024

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	11/9/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/29/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/9/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/9/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/23/2021	5/6/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	5/6/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	5/6/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2022	7/2/2024
Inactive	Humana Insurance Company	301104	Agent - Health	5/18/2021	5/16/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/9/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/14/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/14/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/14/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/14/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	5/30/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/13/2020	12/30/2021

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	3/28/2023	5/15/2024