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DEPARTMENT OF INSURANCE
Affiliations
Name
Fortin, Julie Ann
DOIID
787942
NAIC NPN
16508703
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/8/2012
2/3/2016
Inactive
Non Resident
Agent
Life
8/8/2012
2/3/2016
* 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
1/9/2013
2/3/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Health
1/9/2013
2/3/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Life
1/9/2013
2/3/2016
Inactive
American General Life Insurance Company
301585
Agent - Health
9/29/2012
2/3/2016
Inactive
American General Life Insurance Company
301585
Agent - Life
9/29/2012
2/3/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/7/2013
1/5/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
5/7/2013
1/5/2016
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
12/8/2014
2/3/2016
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
12/8/2014
2/3/2016
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
9/30/2014
9/3/2015
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
9/30/2014
9/3/2015
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
9/17/2012
2/3/2016
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
9/17/2012
2/3/2016
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/7/2013
12/8/2015
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
1/9/2014
2/3/2016
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
1/7/2013
12/8/2015
Inactive
Freedom Life Insurance Company of America
300074
Agent - Health
4/25/2013
4/22/2014
Inactive
Freedom Life Insurance Company of America
300074
Agent - Life
4/25/2013
4/22/2014
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/6/2012
2/8/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/6/2012
2/8/2016
Inactive
HCC Life Insurance Company
301827
Agent - Health
12/8/2014
2/3/2016
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/19/2013
12/8/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
1/7/2013
3/5/2016
Inactive
Humana Insurance Company
301104
Agent - Health
3/19/2013
3/5/2016
Inactive
Humana Insurance Company
301104
Agent - Life
3/19/2013
3/5/2016
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/7/2013
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/7/2013
12/8/2015
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/7/2013
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/7/2013
10/22/2015
Inactive
Starmount Life Insurance Company
628031
Agent - Health
1/22/2013
2/3/2016
Inactive
Starmount Life Insurance Company
628031
Agent - Life
1/22/2013
2/3/2016
Inactive
Time Insurance Company
300683
Agent - Health
9/18/2012
2/3/2016
Inactive
Time Insurance Company
300683
Agent - Life
9/18/2012
2/3/2016
Inactive
United States Fire Insurance Company
582240
Agent - Health
11/5/2012
2/3/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
8/18/2015
2/3/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
1/5/2016
2/3/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
1/5/2016
2/3/2016
Inactive
Velapoint LLC
721963
Agent - Life
11/20/2013
2/3/2016
Inactive
Velapoint LLC
721963
Agent - Health
11/20/2013
2/3/2016
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