DEPARTMENT OF INSURANCE

Affiliations

Name	Buntrock, Dawn M	DOIID	666256	NAIC NPN	9732267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2023		7/31/2026
* 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	05/15/2026	07/31/2026

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	9/17/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/4/2023	1/7/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/4/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/4/2023	1/7/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/4/2023	7/15/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/14/2013	7/31/2014
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/4/2023	1/7/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/14/2013	7/31/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/14/2013	7/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/14/2013	7/31/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/14/2013	7/31/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/14/2013	7/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/14/2013	7/31/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/29/2009	11/5/2011
Active	SilverScript Insurance Company	663526	Agent - Health	9/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/4/2023	7/15/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/7/2008	7/31/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/7/2008	2/27/2013
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/4/2023	7/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	10/27/2023	7/24/2024