DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Andre, Jean Max	DOIID	1104338	NAIC NPN	6406310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/15/2022		7/31/2024
Active	Non Resident	Agent	Health	10/12/2020		7/31/2024
* 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	05/15/2024	07/31/2024

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	9/26/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/26/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/28/2023	10/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/28/2023	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/28/2023	10/25/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/28/2023	10/25/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/26/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/25/2022	8/18/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/25/2022	8/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/14/2022
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Denied	Healthinsurance.Com, LLC	1082129	Agent - Life
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022
Denied	Togetherhealth Insurance LLC	1026438	Agent - Life