DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Broussard, Corietta Zeigler	DOIID	1157332	NAIC NPN	19769010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2021		10/31/2024
Active	Non Resident	Agent	Health	9/8/2021		10/31/2024
* 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	08/15/2024	10/31/2024

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	9/22/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/22/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/7/2022	1/10/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	12/21/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2022	1/10/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2022	12/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/12/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/12/2022	12/21/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024