DEPARTMENT OF INSURANCE
Affiliations
NameChampaigne, Chelsea DOIID1222690NAIC NPN20092047
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/11/2022 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health8/17/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/17/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/17/2022 
ActiveArcadian Health Plan, Inc.728196Agent - Health7/24/2023 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/15/20222/12/2024
ActiveCompBenefits Insurance Company301864Agent - Health7/24/2023 
ActiveEmphesys Insurance Company300598Agent - Health5/19/2025 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/2/2023 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health8/19/2024 
ActiveHumana Health Plan, Inc.300142Agent - Health1/11/2024 
ActiveHumana Insurance Company301104Agent - Health7/24/2023 
ActiveHumana Medical Plan, Inc.801568Agent - Health8/15/2023 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/19/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/17/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/15/20222/12/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/15/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/15/20222/12/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHumana MarketPOINT Inc.398092Agent - Health7/24/2023 

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