DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Surprenant, Paula Lynn	DOIID	1233482	NAIC NPN	20455817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2022		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2022	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/29/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/29/2022	12/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/29/2022	12/20/2022

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	10/14/2022	12/20/2022
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/15/2022	12/20/2022