DEPARTMENT OF INSURANCE

Affiliations

Name	Gillette, Elizabeth C	DOIID	329039	NAIC NPN	1206378

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	9/16/1997	3/2/1999
Inactive	Resident	Agent	Life	2/7/1996	5/31/2021
Inactive	Resident	Agent	Health	2/7/1996	5/31/2021
Inactive	Resident	Life & Health Consultant	Not Applicable	5/18/2007	5/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	12/23/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	5/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/23/2005	5/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/23/2005	5/31/2021
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	9/2/2010	5/31/2021
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/2/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/2/2010	6/11/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/10/2007	5/31/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/10/2007	5/31/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/15/2013	5/31/2021
Inactive	HCC Life Insurance Company	301827	Agent - Life	7/15/2013	5/31/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/26/2012	6/30/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/26/2012	6/30/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/16/1997	3/2/1999
Inactive	Humana Insurance Company	300118	Agent - Health	2/7/1996	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Health	1/3/2002	5/2/2008
Inactive	Humana Insurance Company	300118	Agent - Life	2/7/1996	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Life	1/3/2002	5/2/2008
Inactive	Life Insurance Company of North America	300711	Agent - Health	8/28/2013	5/31/2021
Inactive	Life Insurance Company of North America	300711	Agent - Life	8/28/2013	5/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	5/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	5/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/20/2013	5/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/20/2013	5/31/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/11/2005	5/31/2021
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/11/2005	5/31/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	6/18/2013	5/31/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Life	6/18/2013	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/24/2010	3/23/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	5/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	5/31/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/4/2005	5/31/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	6/2/2009	5/31/2021
Inactive	Mercer Health & Benefits LLC	607080	Life & Health Consultant - Not Applicable	11/18/2008	5/31/2021
Inactive	William M. Mercer of Kentucky Inc.	398681	Agent - Life	6/27/2003	3/31/2013
Inactive	William M. Mercer of Kentucky Inc.	398681	Agent - Health	6/2/2009	3/31/2013