DEPARTMENT OF INSURANCE
Affiliations
NameBalentine, Latezeon HumphreyDOIID1192352NAIC NPN19506988
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/31/2023 9/30/2025
ActiveNon ResidentAgentPersonal Lines3/9/2022 9/30/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health8/7/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/7/2023 
ActiveAetna Life Insurance Company301140Agent - Health8/7/2023 
InactiveCimarron Insurance Company, Inc.300842Agent - Personal Lines5/18/20226/10/2022
InactiveProgressive Direct Insurance Company301379Agent - Personal Lines1/18/20242/5/2024
ActiveSilverScript Insurance Company663526Agent - Health8/7/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveTrubridge Inc717747Agent - Health6/4/2024 
InactiveTtec Financial Services Management LLC881063Agent - Personal Lines1/18/20242/1/2024

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