DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gallman, Keoni	DOIID	1292959	NAIC NPN	20762606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2023		10/31/2024
* 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	08/15/2024	10/31/2024

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	9/21/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/21/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/21/2023
Active	Humana Insurance Company	301104	Agent - Health	2/26/2024
Active	Omaha Health Insurance Company	301296	Agent - Health	10/22/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/21/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2023

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	11/7/2023	5/7/2024