DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dublin, Evelyn	DOIID	1204668	NAIC NPN	20297973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/4/2024		12/31/2024
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/7/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/1/2022	10/13/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/7/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/7/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/4/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/20/2022	10/13/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/4/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/4/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/4/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/1/2022	10/13/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2023	10/13/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/4/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/16/2022	7/12/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	10/13/2023