PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameGreen, Dervin DOIID1274789NAIC NPN18371239
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/16/20231/31/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArcadian Health Plan, Inc.728196Agent - Health9/29/20241/31/2025
InactiveCompBenefits Insurance Company301864Agent - Health9/29/20241/31/2025
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/23/20241/31/2025
InactiveHumana Insurance Company301104Agent - Health9/29/20241/31/2025
InactiveHumana Medical Plan, Inc.801568Agent - Health10/23/20241/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTrubridge Inc717747Agent - Health1/22/20248/29/2024

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