DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Archambault, Dennis Michael	DOIID	1159281	NAIC NPN	20051202

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/16/2021		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
Inactive	Accendo Insurance Company	300312	Agent - Health	11/2/2021	1/24/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/19/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/2/2021	1/24/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/19/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/19/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/3/2021	2/15/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/3/2021	2/15/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/3/2021	2/15/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/3/2021	2/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/2/2021	1/24/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/12/2022	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2021	1/17/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/27/2021	2/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023