DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Siwana S	DOIID	1204738	NAIC NPN	16146380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/12/2022		10/31/2024
Active	Non Resident	Agent	Life	5/12/2022		10/31/2024
* 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	08/15/2024	10/31/2024

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	6/6/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/6/2024	6/13/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	6/6/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/2/2024	6/20/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/2/2024	6/20/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	9/19/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/2/2024	6/20/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	5/19/2022	12/11/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/23/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/6/2024	6/13/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2022	9/19/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2022	9/19/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/24/2022	9/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Iq Insurance Services, Inc	882220	Agent - Life
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	5/30/2023	10/11/2023