DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wertman, Maximillian	DOIID	1297244	NAIC NPN	20801095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/8/2023		10/31/2025
* 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
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/20/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/27/2023
Active	Humana Insurance Company	301104	Agent - Health	1/2/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	3/25/2024