DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maxi, Shirley	DOIID	627418	NAIC NPN	8641913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/11/2023		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/19/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/19/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/14/2023	12/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/14/2023	12/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/14/2023	12/13/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/14/2023	12/13/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	9/7/2023	3/31/2024
Denied	United States Pharmaceutical Group LLC	620386	Agent - Health