DEPARTMENT OF INSURANCE

Affiliations

Name	Fann, Gina Marie	DOIID	751002	NAIC NPN	15053227

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/29/2011	5/31/2025
Active	Non Resident	Agent	Health	3/29/2011	5/31/2025
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	American Continental Insurance Company	643130	Agent - Health	1/31/2013	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	1/31/2013	11/11/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/30/2012	6/17/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/30/2012	6/17/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/2/2012	9/3/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/6/2011	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/6/2011	6/11/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/31/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/31/2013	4/26/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/2/2012	9/3/2013
Inactive	Elixir Insurance Company	696846	Agent - Health	8/1/2019	10/1/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/23/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/23/2011	12/26/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/12/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/12/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/12/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/2/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/2/2012	9/3/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/12/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/12/2012	9/3/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/21/2011	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/21/2011	11/5/2011
Active	SilverScript Insurance Company	663526	Agent - Health	3/18/2019
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/21/2011	11/30/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/21/2012	3/18/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/21/2012	3/18/2013
Inactive	Unified Life Insurance Company	543169	Agent - Health	9/19/2016	12/12/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/21/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/21/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2011	8/19/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/14/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	8/19/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	8/19/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/21/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	8/19/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/15/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Health Alliance LLC	667000	Agent - Health	4/21/2011	3/31/2024
Inactive	Continental Health Alliance LLC	667000	Agent - Life	4/21/2011	3/31/2024
Active	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013