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
Inactive	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.

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	7/11/2022	11/30/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/17/2024	11/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/11/2022	4/24/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/11/2022	11/30/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/3/2023	1/8/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/17/2024	11/30/2024
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