DEPARTMENT OF INSURANCE

Affiliations

Name	Phonthipsavath, Chintana	DOIID	761110	NAIC NPN	13551271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2011		8/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/26/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/30/2018	11/10/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/11/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/26/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/3/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	7/15/2019	12/21/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	7/15/2019	12/21/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/20/2019	12/22/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/7/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/30/2018	11/10/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/26/2018	6/15/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/13/2018	7/7/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/29/2019	2/20/2022
Inactive	Heartland National Life Insurance Company	948749	Agent - Health	9/6/2019	7/23/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2018	10/16/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/5/2019	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/3/2018	10/16/2018
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/6/2018	12/29/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/26/2020	1/23/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	11/25/2013	8/8/2018
Active	SilverScript Insurance Company	663526	Agent - Health	7/11/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/16/2018	12/23/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	10/31/2018	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/23/2011	5/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2018	1/20/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/1/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2018	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2018	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/4/2016	2/18/2019