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DEPARTMENT OF INSURANCE
Affiliations
Name
Insurance Services Llc
DOIID
1165722
NAIC NPN
7863430
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
10/12/2021
3/31/2025
Active
Non Resident
Agent
Life
10/12/2021
3/31/2025
* 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
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accendo Insurance Company
300312
Agent - Health
12/1/2021
11/17/2023
Active
Accendo Insurance Company
300312
Agent - Life
12/1/2021
Active
Aetna Health Inc. (PA)
660717
Agent - Health
11/10/2021
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
12/1/2021
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
11/10/2021
Active
Aetna Life Insurance Company
301140
Agent - Health
11/10/2021
Active
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
7/20/2022
Active
Continental American Insurance Company
301700
Agent - Health
7/26/2022
Active
Continental American Insurance Company
301700
Agent - Life
7/26/2022
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
12/1/2021
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
12/1/2021
Active
Humana Health Plan, Inc.
300142
Agent - Health
3/11/2024
Active
SilverScript Insurance Company
663526
Agent - Health
11/10/2021
Active
Tier One Insurance Company
301056
Agent - Health
10/24/2022
Active
Tier One Insurance Company
301056
Agent - Life
8/17/2022
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
5/29/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
5/29/2022
12/22/2022
Active
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
5/29/2022
Active
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
1/6/2023
Active
WellCare Prescription Insurance Inc.
654329
Agent - Health
1/6/2023
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Charles-Hurley, Vanessa C
603197
Agent - Health
10/12/2021
Active
Charles-Hurley, Vanessa C
603197
Agent - Life
10/12/2021
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