DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blonder, David	DOIID	1233277	NAIC NPN	20426583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2022		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/28/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/2/2022	1/23/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	4/28/2023
Active	Emphesys Insurance Company	300598	Agent - Health	5/27/2025
Inactive	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/2/2022	1/23/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/1/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/28/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	4/28/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	4/28/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023