DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Portnoy, Evan Scott	DOIID	632075	NAIC NPN	1014867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/12/2006		8/31/2025
Active	Non Resident	Agent	Health	6/12/2006		8/31/2025
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	4/8/2021	4/25/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/23/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	6/23/2015
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/12/2021
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	5/25/2016
Active	United World Life Insurance Company	300532	Agent - Health	5/12/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/12/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/12/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/27/2013	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/27/2013	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/27/2013	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/27/2013	11/30/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	5/19/2015
Active	Designated Agent Company Inc.	681257	Agent - Health	6/23/2015
Active	Designated Agent Company Inc.	681257	Agent - Life	6/23/2015