DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brevard, Odesser	DOIID	1106850	NAIC NPN	16371357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/22/2020		6/30/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	11/16/2023		6/30/2026
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/28/2020	5/27/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/28/2020	5/27/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/28/2020	5/27/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/17/2021	3/22/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/8/2022	3/22/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/8/2022	3/22/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/23/2021	7/14/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/8/2022	3/22/2023
Inactive	Humana Insurance Company	301104	Agent - Health	1/13/2022	4/21/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/28/2020	5/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/9/2021	6/7/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/9/2021	6/7/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/9/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2021	6/7/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/26/2022	6/20/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/1/2023	6/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/14/2022	4/5/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/15/2022	3/31/2023