DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Church, Duane Joseph	DOIID	696012	NAIC NPN	3039954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/18/2023		10/31/2026
* 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	08/15/2024	10/31/2024	08/15/2024	08/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2017	1/6/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/11/2017	1/11/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/5/2017	1/6/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/25/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/25/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/25/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/25/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/11/2017	10/13/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/5/2017	1/6/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	6/15/2018
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/29/2009	2/2/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/6/2009	1/19/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/6/2009	10/31/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/6/2009	2/2/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2017	3/26/2022
Denied	Humana MarketPOINT Inc.	398092	Agent - Health