DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pan, Vivian	DOIID	1125009	NAIC NPN	15890251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/17/2021		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	Aetna Health Inc. (PA)	660717	Agent - Health	7/18/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/23/2021	7/15/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	7/18/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/20/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	3/21/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/20/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/8/2021	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/31/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/20/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2021	4/2/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2022	4/2/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/6/2021	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/18/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/31/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/13/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/13/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/31/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2021	3/5/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	6/21/2023	6/7/2024
Inactive	Choice Health Ins	967817	Agent - Health	3/31/2022	10/25/2023