DEPARTMENT OF INSURANCE

Affiliations

Name	East Coast Health Ins	DOIID	749457	NAIC NPN	15697080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/8/2011	3/31/2019
Inactive	Non Resident	Agent	Life	3/8/2011	3/31/2019
* 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	4/4/2011	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/4/2011	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/4/2011	3/31/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/1/2016	7/6/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/1/2016	7/6/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	5/8/2011	11/9/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/8/2011	11/9/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/15/2011	4/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/15/2011	4/13/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/25/2012	3/31/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/16/2011	8/31/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/16/2011	8/31/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/7/2013	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	4/15/2011	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/15/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/15/2011	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/15/2011	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/7/2013	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/7/2013	4/13/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	11/24/2014	3/31/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	11/24/2014	3/31/2019
Inactive	Medico Insurance Company	301559	Agent - Health	11/21/2017	12/12/2018
Inactive	Medico Insurance Company	301559	Agent - Life	11/21/2017	12/12/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	10/25/2013	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	10/25/2013	12/26/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	3/14/2012	3/31/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	1/26/2016	4/6/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2016	3/31/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	3/31/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/7/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/7/2016	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ehrenthal, Caroline Loor	734041	Agent - Health	3/8/2011	3/31/2019
Inactive	Ehrenthal, Caroline Loor	734041	Agent - Life	3/8/2011	3/31/2019