DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Faith, Debra S	DOIID	333440	NAIC NPN	3315185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	12/22/1999	3/1/2001
Inactive	Resident	Agent	Health	1/14/2003	9/1/2015
Inactive	Resident	Agent	Life	1/14/2003	9/1/2015
* 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	2/4/2003	10/15/2004
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	12/22/1999	3/1/2001
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/14/2003	10/15/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/14/2003	10/15/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/14/2015	9/1/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/14/2015	9/1/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/1/2015	9/1/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/1/2015	9/1/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/1/2015	9/1/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/17/2015	9/1/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/17/2015	9/1/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/1/2015	9/1/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/1/2015	9/1/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/15/2009	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/21/2015	9/1/2015
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/5/1999	11/18/2002
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/5/1999	11/18/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Denied	Humana MarketPOINT Inc.	398092	Agent - Health