DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sieracki, Brigitte	DOIID	1219225	NAIC NPN	6521690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2022		4/30/2025
Active	Non Resident	Agent	Life	7/27/2022		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	8/22/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/22/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/22/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/27/2022	5/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/27/2022	5/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/27/2022	5/25/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/15/2022	6/9/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/27/2022	5/25/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2022	6/9/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2022	6/9/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2022	6/9/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/17/2022	5/3/2023
Denied	Healthinsurance.Com, LLC	1082129	Agent - Life
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	5/1/2023
Denied	Togetherhealth Insurance LLC	1026438	Agent - Life
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022