DEPARTMENT OF INSURANCE
Affiliations
NameCusano, Jasmine CampanaDOIID1218080NAIC NPN20132133
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/21/2022 11/30/2024
ActiveNon ResidentAgentLife7/21/2022 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health7/29/202311/17/2023
ActiveAccendo Insurance Company300312Agent - Life7/29/2023 
ActiveAetna Health Inc. (PA)660717Agent - Health7/26/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/29/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/26/2022 
ActiveAetna Life Insurance Company301140Agent - Health7/26/2022 
ActiveAmerican General Life Insurance Company301585Agent - Health11/23/2022 
ActiveAmerican General Life Insurance Company301585Agent - Life11/23/2022 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/8/2023 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/8/2023 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/8/2023 
ActiveCICA Life Insurance Company of America600487Agent - Life12/14/2023 
ActiveCMFG Life Insurance Company300929Agent - Health4/17/2024 
ActiveCMFG Life Insurance Company300929Agent - Life4/17/2024 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/202211/21/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/8/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/29/2023 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/29/2023 
InactiveHumana Medical Plan, Inc.801568Agent - Health9/16/20223/1/2023
ActiveSilverScript Insurance Company663526Agent - Health7/26/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/21/202211/21/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/21/202211/21/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/21/202211/21/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health6/9/202310/2/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health6/9/202310/2/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssurance IQ, LLC919554Agent - Life11/23/20225/15/2024
InactiveAssurance IQ, LLC919554Agent - Health10/24/20225/15/2024

© Commonwealth of Kentucky. All rights reserved.