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DEPARTMENT OF INSURANCE
Affiliations
Name
American Ins Organization Llc
DOIID
787616
NAIC NPN
16513644
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
8/3/2012
3/31/2026
Active
Non Resident
Agent
Health
8/3/2012
3/31/2026
* 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
AXIS Insurance Company
301290
Agent - Health
10/31/2018
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/13/2012
4/24/2024
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
5/2/2017
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/24/2020
4/24/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Health
12/13/2012
4/24/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Life
12/13/2012
4/24/2024
Inactive
American Continental Insurance Company
643130
Agent - Life
5/2/2017
12/6/2021
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
10/1/2021
3/16/2022
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
10/1/2021
3/16/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
6/18/2014
3/16/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/18/2014
3/16/2022
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
1/18/2018
6/1/2021
Inactive
Assurity Life Insurance Company
301099
Agent - Health
2/8/2017
3/23/2021
Inactive
Assurity Life Insurance Company
301099
Agent - Life
2/8/2017
3/23/2021
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
12/27/2017
4/13/2021
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
12/27/2017
12/27/2022
Active
Combined Insurance Company of America
301472
Agent - Health
4/5/2017
Active
Combined Insurance Company of America
301472
Agent - Life
4/5/2017
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
10/20/2015
3/14/2019
Inactive
Companion Life Insurance Company
300191
Agent - Health
3/28/2017
12/13/2022
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
10/1/2021
3/16/2022
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
5/2/2017
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/3/2020
6/1/2021
Active
Federal Insurance Company
301144
Agent - Health
11/4/2015
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
2/17/2017
4/24/2024
Inactive
Golden Rule Insurance Company
301943
Agent - Health
12/15/2015
8/13/2021
Inactive
Golden Rule Insurance Company
301943
Agent - Life
12/15/2015
8/13/2021
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
10/12/2017
6/1/2021
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/3/2015
6/1/2021
Inactive
Humana Insurance Company
301104
Agent - Health
9/3/2015
6/1/2021
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
9/20/2017
6/1/2021
Inactive
SilverScript Insurance Company
663526
Agent - Health
11/4/2019
4/24/2024
Inactive
Time Insurance Company
300683
Agent - Health
12/29/2014
11/15/2019
Inactive
Time Insurance Company
300683
Agent - Life
12/29/2014
11/15/2019
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
12/15/2015
11/4/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
12/15/2015
11/4/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
12/15/2015
2/14/2017
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
12/18/2019
12/28/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
12/11/2018
12/23/2021
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Pequeno, John P
685298
Agent - Health
8/3/2012
Active
Pequeno, John P
685298
Agent - Life
8/3/2012
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