DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	De Souza, Joni C	DOIID	781163	NAIC NPN	997499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/7/2012		3/31/2027
Active	Non Resident	Agent	Life	5/7/2012		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/28/2025	01/28/2025	Yes

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	9/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/9/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/9/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/9/2024	4/15/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/9/2024
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	7/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Keystone Ins & Benefits Group LLC	716920	Agent - Life
Denied	Keystone Ins & Benefits Group LLC	716920	Agent - Health