DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Jill Suzanne	DOIID	1297559	NAIC NPN	20833974

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/11/2023		7/31/2026
* 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	05/15/2026	07/31/2026

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	9/15/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/12/2023	12/12/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/21/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/15/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2023	12/12/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2023	12/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/26/2023	2/20/2024