DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Pamela R	DOIID	802718	NAIC NPN	8887791

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/6/2022		11/30/2024
Inactive	Non Resident	Agent	Life	10/8/2018	4/11/2019
* 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	09/15/2024	11/30/2024

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	7/11/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/11/2022	4/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	7/11/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/3/2023	1/8/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/17/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/29/2022	1/10/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	2/11/2013	4/23/2013
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	2/11/2013	5/15/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/15/2013	9/15/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/17/2018	4/11/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/17/2018	4/11/2019
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	7/7/2022	9/14/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/11/2022	4/24/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/17/2018	4/11/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/17/2018	4/11/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/17/2018	4/11/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/3/2023	1/8/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/7/2022	9/14/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/3/2023	1/8/2024
Inactive	Unum Insurance Company	301499	Agent - Health	10/17/2018	4/11/2019
Inactive	Unum Insurance Company	301499	Agent - Life	10/17/2018	4/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024