DEPARTMENT OF INSURANCE

Affiliations

Name	Ontiveros, Brittney	DOIID	1165202	NAIC NPN	20093436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2021	12/31/2026
Active	Non Resident	Agent	Life	10/8/2021	12/31/2026
* 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	10/15/2024	12/31/2024	10/15/2024	10/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/7/2022	3/25/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	1/7/2022	3/25/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2021	6/23/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/7/2022	3/25/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/14/2021	6/23/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/14/2021	6/23/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/22/2021	3/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/22/2021	3/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/22/2021	3/13/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/19/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	10/19/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/22/2021	3/13/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/7/2022	3/25/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/7/2022	3/25/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/1/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/14/2021	12/11/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/10/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/10/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2023
Active	Humana Insurance Company	301104	Agent - Health	9/27/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/19/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/27/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/14/2021	6/23/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/26/2021	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	1/7/2022	3/2/2023
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023