DEPARTMENT OF INSURANCE
Affiliations
NameAetna Student Health Agency IncDOIID521725NAIC NPN963962
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/20/20012/1/2007 
InactiveNon ResidentAgentHealth2/20/200110/8/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health5/13/200412/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/200710/8/2019
InactiveAetna Life Insurance Company301140Agent - Health2/20/200110/8/2019
InactiveAetna Life Insurance Company301140Agent - Life2/20/20012/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChambers, Philip Charles 741967Agent - Health4/16/20129/7/2016
InactiveChicos, Frederick Harris 515150Agent - Health3/17/200311/30/2006
InactiveChicos, Frederick Harris 515150Agent - Life3/17/200311/30/2006
InactiveColantuno, Danielle Suzanne 910201Agent - Health4/17/201910/8/2019
InactiveConway, Michael Anthony 803785Agent - Health12/21/201610/8/2019
InactiveGrenolds, Dale S 569055Agent - Health1/30/20041/31/2012
InactiveMessier, Margot B. 525983Agent - Health2/22/20053/31/2007
InactiveTortora, Mark Francis 583458Agent - Health2/22/20058/31/2005

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