DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Prophetess	DOIID	1288969	NAIC NPN	20787096

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	8/1/2023		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/7/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/7/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/7/2023
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/7/2023
Inactive	USAA Life Insurance Company	300734	Agent - Health	8/19/2023	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	9/11/2023	6/24/2024