DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Autumn	DOIID	1300000	NAIC NPN	20807857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/21/2023		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2023
Pending Replacement	Humana Insurance Company	301104	Agent - Health	11/13/2023
Pending Replacement	Humana Medical Plan, Inc.	801568	Agent - Health	12/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Trubridge Inc	717747	Agent - Health	1/22/2024