DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, James C	DOIID	385302	NAIC NPN	1492016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/3/2012		1/31/2026
Active	Non Resident	Agent	Life	4/3/2012		1/31/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	12/8/1997	3/1/2001
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	6/7/1999	5/20/2005
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/15/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/8/1997	3/1/2001
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	4/4/2012
Active	Anthem Life Insurance Company	301209	Agent - Life	4/4/2012
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022

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 - Health	3/5/1998	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/5/1998	2/28/2003
Active	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013