DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Humana Behavioral Health, Inc. DBA : LifeSynch	DOIID	576042	NAIC NPN	3248941

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	9/12/2003	7/20/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jacobson, Brae Davene	681680	Administrator - Not Applicable	5/22/2008	2/21/2011
Inactive	Martin, Veronica Lynn	349320	Administrator - Not Applicable	2/22/2011	7/11/2013
Inactive	O'Toole, Patrick	665259	Administrator - Not Applicable	7/2/2014	6/15/2015
Inactive	Payne, Thomas	653895	Administrator - Not Applicable	7/11/2013	5/31/2018
Inactive	Redfield, David Lee	568727	Administrator - Not Applicable	9/12/2003	3/31/2008
Inactive	Uchytil, Craig Charles	739753	Administrator - Not Applicable	6/15/2015	10/31/2018