DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amsalem, Israel	DOIID	1152519	NAIC NPN	19707974

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2021		11/30/2024
Active	Non Resident	Agent	Life	8/18/2021		11/30/2024
* 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	09/15/2024	11/30/2024

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	9/6/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/6/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/29/2021	10/25/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/7/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/18/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/21/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/7/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2021	12/13/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/3/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/24/2022	9/28/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/7/2024
Active	Humana Insurance Company	301104	Agent - Health	6/11/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/1/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/6/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/21/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/21/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/17/2021	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/19/2022
Denied	Healthinsurance.Com, LLC	1082129	Agent - Life
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Denied	Togetherhealth Insurance LLC	1026438	Agent - Life
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022