DEPARTMENT OF INSURANCE

Affiliations

Name	Modena, Ralph Emory	DOIID	361934	NAIC NPN	2809611

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/21/1986	5/4/2022
Inactive	Non Resident	Agent	Health	11/21/1986	5/4/2022
* 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	6/5/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/14/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/5/2001	7/14/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/5/2001	7/14/2022
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/12/1994	11/26/2001
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/12/1994	11/26/2001
Inactive	American Fidelity Assurance Company	301004	Agent - Health	4/15/2004	10/30/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/15/2004	10/30/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/17/2003	6/11/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/17/2003	6/11/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/4/1998	5/4/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/4/1998	5/4/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/29/2007	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/29/2007	9/16/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/2/2004	5/4/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/2/2004	5/4/2022
Inactive	Combined Insurance Company of America	301472	Agent - Health	2/3/2014	5/4/2022
Inactive	Combined Insurance Company of America	301472	Agent - Life	2/3/2014	5/4/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/23/2013	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/4/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/4/2009	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/1/1995	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/1/1995	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	12/13/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/29/2007	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/29/2007	10/5/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/15/2007	11/23/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/15/2007	11/23/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/14/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/14/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2009	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	4/14/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/4/2009	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/4/2009	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/14/2016	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/4/2009	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/4/2009	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/23/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/23/2013	10/22/2015
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	2/21/2005	6/26/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	2/21/2005	6/26/2008
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/3/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/3/1999	8/24/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/17/2002	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/17/2002	11/30/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/18/2013	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/18/2013	9/9/2015
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/10/1999	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/10/1999	12/17/2004
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	2/18/2005	1/21/2011
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	2/18/2005	1/21/2011
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021	5/4/2022
Inactive	Time Insurance Company	300683	Agent - Health	3/9/2004	6/12/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/9/2004	6/12/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/27/2010	5/19/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/27/2010	5/19/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/11/2003	5/4/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/11/2003	5/4/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/18/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/18/2013	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/30/2007	12/12/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/30/2007	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/31/2007	12/12/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/31/2007	12/12/2009
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	8/28/1996	12/12/2012
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	8/28/1996	12/12/2012
Inactive	Westport Insurance Corporation	301875	Agent - Health	12/27/2000	5/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/8/1997	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/1997	6/23/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/14/2001	3/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	5/4/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	5/4/2022
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	6/4/2013	5/6/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	6/4/2013	5/6/2014
Inactive	Usi Insurance Services LLC	669260	Agent - Life	6/5/2014	7/29/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014	7/29/2021
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	9/13/2004	6/4/2013
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	9/13/2004	6/4/2013