DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sepulvado, Brittany Elaine	DOIID	767922	NAIC NPN	16445386

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/17/2013	4/30/2015
Inactive	Non Resident	Agent	Life	11/1/2011	4/30/2013
* 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	12/12/2011	4/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/12/2011	4/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/12/2011	4/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/18/2011	4/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/18/2011	4/30/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	8/21/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2011	8/21/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/28/2011	6/21/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/15/2013	5/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2011	8/21/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2011	8/21/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/15/2013	5/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/15/2013	5/22/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	3/5/2012	1/25/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/13/2013	5/1/2015
Inactive	Sterling Life Insurance Company	301947	Agent - Health	11/5/2011	10/30/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Life	11/5/2011	10/30/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/24/2011	6/19/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/24/2011	6/19/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	4/23/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/18/2013	4/30/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/18/2011	4/30/2013