DEPARTMENT OF INSURANCE

Affiliations

Name	Bergstrom, Susan Reiter	DOIID	1135631	NAIC NPN	6920021

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/21/2021	1/31/2025
Active	Non Resident	Agent	Health	5/21/2021	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	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/8/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	7/25/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	5/27/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/28/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/27/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/28/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/28/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/21/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/10/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/10/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	5/21/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	5/21/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/1/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/10/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/27/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/27/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/1/2021	12/13/2022
Active	Elips Life Insurance Company	301087	Agent - Health	4/21/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/2/2022
Active	Lumico Life Insurance Company	300354	Agent - Life	4/18/2022
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/14/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/8/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/25/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/25/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/25/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/25/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	GoldenCare USA, LLC	398142	Agent - Life	6/16/2021
Active	GoldenCare USA, LLC	398142	Agent - Health	6/16/2021
Active	National Independent Brokers, LLC	502029	Agent - Life	6/16/2021
Active	National Independent Brokers, LLC	502029	Agent - Health	6/16/2021