DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Formosa, Felix	DOIID	1298896	NAIC NPN	20811877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/16/2023		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	10/25/2023	4/6/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	9/20/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2023	1/16/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2023	10/15/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2023	1/16/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/26/2023	1/16/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/19/2023	2/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/19/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/19/2023	2/14/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/19/2023	2/14/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2023	10/15/2024
Pending Replacement	National Health Insurance Company	300554	Agent - Health	12/8/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/26/2023	1/16/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	9/23/2023	11/5/2024

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	9/25/2023	3/14/2024