DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bloomer, Erin Grace	DOIID	1292451	NAIC NPN	20807772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2023		4/30/2026
* 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	02/15/2026	04/30/2026

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	8/23/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/23/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/23/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/23/2023	1/8/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/23/2023	1/8/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/23/2023	1/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Financial Insurance Services, Inc.	514710	Agent - Health	1/22/2024