DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Woosley, Elizabeth Ann	DOIID	389316	NAIC NPN	3341237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/28/2004	11/24/2004
Active	Resident	Agent	Health	5/7/2004		9/30/2026
Active	Resident	Agent	Life	5/7/2004		9/30/2026
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/12/2004	4/28/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	07/16/2024	07/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	9/1/2000	10/23/2003
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/22/1999	10/23/2003
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/22/1999	10/23/2003
Active	Anthem Life Insurance Company	301209	Agent - Health	7/3/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	7/3/2014
Inactive	CHA HMO, Inc.	300662	Agent - Health	8/4/2004	7/29/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/17/2006	11/26/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/17/2006	12/9/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/17/2006	12/9/2014
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	1/4/2001	5/21/2003
Active	Standard Insurance Company	300185	Agent - Health	4/5/2024
Active	Standard Insurance Company	300185	Agent - Life	4/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	7/3/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	7/3/2014

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fisher, Michael Douglas	333946	Apprentice Adjuster - Not Applicable	3/12/2004	4/28/2004