DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fitzgerald, Beverly J	DOIID	333756	NAIC NPN	1742222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health Maintenance Organization	11/10/1999	3/1/2001
Inactive	Non Resident	Agent	Health	3/1/2001	7/31/2012
* 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	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	11/10/1999	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/31/2012
Inactive	Aetna Health Insurance Company	301583	Agent - Health	3/1/2001	7/31/2012
Inactive	Aetna Health Insurance Company	301583	Agent - Health Maintenance Organization	3/27/2000	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	10/30/2008	7/31/2012