DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baisten, Erica Monique	DOIID	1166229	NAIC NPN	20074923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2021	1/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/1/2021	6/28/2022
Inactive	Humana Insurance Company	301104	Agent - Health	2/9/2022	6/28/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/21/2022	7/4/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/21/2022	7/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/14/2022	6/28/2022