DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pass, Christi M	DOIID	1156020	NAIC NPN	19628389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/1/2021		7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/24/2022	9/15/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2021	9/15/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/2/2021	9/15/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/2/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/2/2021	9/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	4/20/2022	9/15/2022