DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southall, Rebecca	DOIID	1285000	NAIC NPN	20756803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/12/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/9/2023	9/16/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/9/2023	9/16/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/9/2023	9/16/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/12/2023	10/9/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/12/2023	10/9/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/12/2023	10/9/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/12/2023	10/9/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/9/2023	9/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/17/2024	3/14/2024