DEPARTMENT OF INSURANCE
Affiliations
NameSt Vil, Madgerda DOIID1145031NAIC NPN8085918
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth7/15/2021 2/28/2026
Pending ReplacementNon ResidentAgentLife7/15/2021 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health7/19/2021 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health7/19/2021 
Pending ReplacementAetna Life Insurance Company301140Agent - Health7/19/2021 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/2/202312/14/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/2/202312/14/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/2/202312/14/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/202212/11/2024
Pending ReplacementCompBenefits Insurance Company301864Agent - Health3/13/2024 
InactiveCompcare Health Services Insurance Corporation948751Agent - Health5/2/202312/14/2024
InactiveDental Concern Inc. (The)301641Agent - Health1/20/202212/12/2024
Pending ReplacementFidelity Investments Life Insurance Company300620Agent - Life3/7/2023 
InactiveHumana Insurance Company301104Agent - Health6/8/202212/12/2024
Pending ReplacementSilverScript Insurance Company663526Agent - Health7/19/2021 
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/15/202112/11/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health11/15/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/15/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health11/15/202112/11/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/22/20242/28/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedFidelity Health Insurance Services LLC887889Agent - Life  
Pending ReplacementFidelity Health Insurance Services LLC887889Agent - Health7/23/2021 

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