DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moment, Rachel	DOIID	1267761	NAIC NPN	19689338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	4/10/2023		6/30/2024
Pending Replacement	Non Resident	Agent	Health	4/10/2023		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	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/17/2023	7/12/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	6/20/2023	11/17/2023
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	6/20/2023
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	4/19/2023
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	6/20/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/19/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/19/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/10/2023	6/30/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/10/2023	6/30/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/10/2023	6/30/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/10/2023	5/28/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/10/2023	6/30/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/20/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/20/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/30/2023	7/5/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	4/19/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2023	5/28/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2023	5/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	6/20/2023	2/27/2024
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	4/28/2023	2/27/2024