DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coleman, Ebony	DOIID	1218122	NAIC NPN	20398402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/21/2022		10/31/2026
* 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	09/25/2024	09/25/2024	Yes

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	8/8/2022	9/12/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/8/2022	9/12/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/8/2022	9/12/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/11/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/11/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/11/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/11/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/25/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/11/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/11/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	3/4/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/8/2022	9/12/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/25/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/25/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/25/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gohealth LLC	691445	Agent - Health	2/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/18/2022	1/31/2023