DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Giovanna Fantasia	DOIID	1167694	NAIC NPN	19855250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/20/2021	4/30/2023
Active	Non Resident	Independent Adjuster	Property & Casualty	8/19/2024		4/30/2027
* 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
Independent Adjuster	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/21/2021	4/30/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/12/2021	4/30/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/21/2021	4/30/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/12/2021	4/30/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/12/2021	4/30/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/14/2021	4/30/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/21/2021	4/30/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/12/2021	4/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	8/27/2024