DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Santana-Ross, Kathleen Bernadette	DOIID	1204937	NAIC NPN	20324300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/13/2022		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/26/2022	9/10/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/26/2022	9/10/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/26/2022	9/10/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/21/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/21/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/21/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/21/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/26/2022	9/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/17/2024	5/7/2024