DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zapata Ele Bengono, Jean	DOIID	1254232	NAIC NPN	18201618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/2/2023		2/28/2025
Active	Non Resident	Agent	Health	2/2/2023		2/28/2025
* 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	12/15/2024	02/28/2025

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	2/8/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/8/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	2/8/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/1/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/3/2023	5/10/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	8/1/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/9/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/26/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/11/2024
Active	Humana Insurance Company	301104	Agent - Health	8/1/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/1/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/26/2024
Active	SilverScript Insurance Company	663526	Agent - Health	2/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/3/2023	5/10/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/3/2023	5/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ensurem II LLC	908041	Agent - Life
Inactive	Ensurem II LLC	908041	Agent - Health	3/7/2023	5/9/2023
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/25/2023