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DEPARTMENT OF INSURANCE
Affiliations
Name
Aetna Student Health Agency Inc
DOIID
521725
NAIC NPN
963962
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
2/20/2001
2/1/2007
Inactive
Non Resident
Agent
Health
2/20/2001
10/8/2019
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc.
300694
Agent - Health
5/13/2004
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
10/8/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Health
2/20/2001
10/8/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Life
2/20/2001
2/1/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Chambers, Philip Charles
741967
Agent - Health
4/16/2012
9/7/2016
Inactive
Chicos, Frederick Harris
515150
Agent - Health
3/17/2003
11/30/2006
Inactive
Chicos, Frederick Harris
515150
Agent - Life
3/17/2003
11/30/2006
Inactive
Colantuno, Danielle Suzanne
910201
Agent - Health
4/17/2019
10/8/2019
Inactive
Conway, Michael Anthony
803785
Agent - Health
12/21/2016
10/8/2019
Inactive
Grenolds, Dale S
569055
Agent - Health
1/30/2004
1/31/2012
Inactive
Messier, Margot B.
525983
Agent - Health
2/22/2005
3/31/2007
Inactive
Tortora, Mark Francis
583458
Agent - Health
2/22/2005
8/31/2005
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