DEPARTMENT OF INSURANCE

Affiliations

Name	AmeriHealth Caritas Services, LLC	DOIID	838468	NAIC NPN	17055881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/17/2014		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bohner, Steven Harvey	722323	Administrator - Not Applicable	4/17/2014	5/31/2022
Active	Tootle, Robert Edward	1203270	Administrator - Not Applicable	5/31/2022