DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Adrienne	DOIID	1224679	NAIC NPN	19631819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/22/2022	6/30/2024
Pending Replacement	Non Resident	Agent	Life	8/22/2022	6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	4/13/2023	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	4/13/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/26/2022
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	4/13/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/26/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/7/2024	6/30/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/5/2022	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/7/2024	6/30/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/15/2023	5/16/2024
Pending Replacement	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/19/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/3/2023	7/1/2024
Pending Replacement	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	1/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/7/2024	6/30/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/13/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/13/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/18/2023	5/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	12/29/2022	5/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/4/2024	7/5/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/7/2023	5/16/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/26/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2023	7/1/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/3/2023	7/1/2024
Pending Replacement	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	4/13/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024