DEPARTMENT OF INSURANCE

Affiliations

Name	Thervil, Brenita	DOIID	740251	NAIC NPN	9748797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2010		4/30/2027
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/6/2016	7/8/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/6/2016	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/2/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/15/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	5/10/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/15/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/21/2011	12/4/2013
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/10/2012	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2011	12/4/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/6/2016	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	12/4/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/24/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/18/2017	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/6/2017	5/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2011	12/4/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/8/2021

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	10/5/2018	2/11/2025