DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Laase, Mary Ellen	DOIID	1281550	NAIC NPN	15852791

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2023		11/30/2024
* 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	09/15/2024	11/30/2024

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	8/11/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/11/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/11/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/25/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/25/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/25/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/8/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/25/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/11/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/8/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/8/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Health Insurance Services LLC	887889	Agent - Health	9/27/2023