DEPARTMENT OF INSURANCE

Affiliations

Name	Balisky, Bertha Enciso	DOIID	615169	NAIC NPN	3183747

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/7/2005	10/31/2019
Inactive	Non Resident	Agent	Life	9/7/2005	10/31/2019
* 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	Ability Insurance Company	301013	Agent - Health	3/10/2006	6/10/2008
Inactive	Ability Insurance Company	301013	Agent - Life	3/10/2006	6/10/2008
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/27/2009	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/27/2009	10/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/27/2009	10/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2009	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2009	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/20/2011	3/14/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	10/16/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/10/2006	11/10/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014	10/31/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/20/2011	10/31/2019
Inactive	Everly Life Insurance Company	561641	Agent - Life	8/3/2012	4/24/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/3/2011	10/31/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/30/2009	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/30/2009	12/26/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	10/31/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/20/2011	10/31/2019
Inactive	Humana Insurance Company	301104	Agent - Health	5/20/2011	10/31/2019
Inactive	Humana Insurance Company	301104	Agent - Life	5/20/2011	10/31/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/20/2011	10/31/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/20/2011	10/31/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	10/31/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	10/31/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/20/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/20/2011	10/22/2015
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	12/9/2005	5/27/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	12/9/2005	5/27/2010
Inactive	Medico Insurance Company	301559	Agent - Health	1/24/2007	6/10/2008
Inactive	Medico Insurance Company	301559	Agent - Life	1/24/2007	6/10/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/26/2007	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	1/26/2006	11/6/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	1/26/2006	7/17/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/4/2011	1/22/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	10/31/2019
Inactive	State Mutual Insurance Company	300359	Agent - Health	3/13/2006	11/16/2009
Inactive	State Mutual Insurance Company	300359	Agent - Life	3/13/2006	11/16/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/13/2010	5/28/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/13/2010	2/1/2015
Inactive	United World Life Insurance Company	300532	Agent - Health	4/26/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/26/2007	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/26/2007	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2008	1/22/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	1/22/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	1/22/2018
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	10/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bermel, Inc.	583995	Agent - Life	10/2/2006	3/31/2018
Inactive	Bermel, Inc.	583995	Agent - Health	10/2/2006	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/8/2009	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/8/2009	11/2/2016