DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fleuridor, Mariesabine	DOIID	1355193	NAIC NPN	18362338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/12/2024		1/31/2027
* 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	11/15/2026	01/31/2027

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	8/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/15/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/15/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/26/2024	9/24/2024
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/9/2025	1/16/2026