DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrell, Princess D	DOIID	1258805	NAIC NPN	18502490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/1/2023		9/30/2026
* 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	07/15/2024	09/30/2024	08/08/2024	08/08/2024	Yes

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	6/5/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/1/2023	3/28/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	6/1/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/2/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/1/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/26/2023
Active	Humana Insurance Company	301104	Agent - Health	6/1/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/6/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/1/2023	3/28/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/1/2023	3/28/2023

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