DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson, Mary Anne	DOIID	1285621	NAIC NPN	17690486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/14/2023		11/30/2027
Active	Non Resident	Agent	Life	7/14/2023		11/30/2027
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/13/2024	1/16/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/28/2025	2/5/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/28/2025	2/5/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/28/2025	2/5/2026
Active	USAA Life Insurance Company	300734	Agent - Health	9/11/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/20/2023	7/2/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/20/2023	7/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TTEC Healthcare Solutions, Inc.	814587	Agent - Health	10/3/2025