DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brien, Gina Lavon	DOIID	843920	NAIC NPN	17302563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/19/2024		10/31/2025
Active	Resident	Agent	Health	1/19/2024		10/31/2025
* 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	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/22/2014	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/22/2014	12/20/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	12/20/2022
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	10/6/2014	12/28/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/29/2014	9/7/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/29/2014	9/7/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	9/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A And I LLC	847544	Agent - Life	7/10/2015	12/20/2022
Inactive	A And I LLC	847544	Agent - Health	7/10/2015	12/20/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/22/2014	12/20/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/22/2014	12/20/2022