DEPARTMENT OF INSURANCE

Affiliations

Name	Capatula, Jacqueline Andrea	DOIID	793886	NAIC NPN	15963006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/12/2015	1/31/2021
Inactive	Non Resident	Agent	Health	10/12/2015	1/31/2021
* 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	5/31/2016	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/31/2016	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/31/2016	1/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/1/2017	7/6/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/1/2017	1/31/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/13/2019	1/8/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/15/2019	1/8/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/31/2016	1/31/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/15/2018	1/31/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/17/2020	1/8/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/26/2019	1/8/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/9/2019	1/8/2021
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2019	1/8/2021
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2019	1/8/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/16/2019	1/8/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/22/2019	1/8/2021
Inactive	Independence American Insurance Company	524747	Agent - Health	3/22/2017	12/11/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Health	2/24/2017	1/31/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Life	5/27/2016	1/31/2021
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	9/20/2016	12/17/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	9/20/2016	12/17/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/31/2016	4/24/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/23/2017	6/28/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/23/2017	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/28/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/7/2012	12/13/2012
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/23/2017	6/28/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/16/2018	8/21/2019

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 - Health	11/1/2017	1/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/1/2017	1/31/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	1/31/2021