DEPARTMENT OF INSURANCE
Affiliations
NameMac Insurance GroupDOIID1341303NAIC NPN21082831
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth5/21/2024 3/31/2026
Pending ReplacementNon ResidentAgentLife5/21/2024 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health5/28/2024 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health5/28/2024 
Pending ReplacementAetna Life Insurance Company301140Agent - Health5/28/2024 
Pending ReplacementArcadian Health Plan, Inc.728196Agent - Health9/23/2024 
Pending ReplacementCare Improvement Plus South Central Insurance Company799697Agent - Health6/9/2024 
Pending ReplacementDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/13/2024 
Pending ReplacementHumana Insurance Company301104Agent - Health7/9/2024 
Pending ReplacementSilverScript Insurance Company663526Agent - Health5/28/2024 
Pending ReplacementUnitedHealthcare Insurance Company300946Agent - Health6/9/2024 
Pending ReplacementUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/9/2024 
Pending ReplacementWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health7/20/2024 
Pending ReplacementWellCare Prescription Insurance Inc.654329Agent - Health7/20/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHussein, Mongoth 1222779Agent - Health5/21/2024 
ActiveHussein, Mongoth 1222779Agent - Life5/21/2024 

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