DEPARTMENT OF INSURANCE

Affiliations

Name	Simon, Carline	DOIID	1288221	NAIC NPN	20777972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/27/2023		6/30/2027
* 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	04/15/2025	06/30/2025	04/04/2025	04/04/2025	Yes

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	9/1/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/29/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/1/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/30/2023	11/5/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/30/2023	11/5/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/30/2023	11/5/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/12/2023	8/13/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	9/29/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/30/2023	11/5/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/18/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/30/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/31/2025
Active	Humana Insurance Company	301104	Agent - Health	9/29/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/23/2024	7/9/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/12/2023	8/13/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/12/2023	8/13/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	9/7/2023	3/31/2024
Active	Humana MarketPOINT Inc.	398092	Agent - Health	9/30/2024