DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cupps, Elizabeth	DOIID	843845	NAIC NPN	17301316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/3/2014		7/31/2026
Active	Resident	Agent	Health	7/15/2014		7/31/2026
* 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	05/15/2024	07/31/2024	07/08/2024	07/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Life Insurance Company	301209	Agent - Health	11/5/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	11/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benefit Ins Marketing Inc	398449	Agent - Life	11/5/2014
Active	Benefit Ins Marketing Inc	398449	Agent - Health	11/5/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	11/5/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	11/5/2014