DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Soterica	DOIID	848375	NAIC NPN	17344164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/28/2021	11/30/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	1/17/2024		11/30/2026
* 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
Staff Adjuster	09/15/2026	11/30/2026

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	6/5/2022	11/30/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/5/2022	11/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/5/2022	11/30/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/24/2022	10/4/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/24/2022	10/4/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/24/2022	10/4/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/26/2014	12/23/2015
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/24/2022	10/4/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/26/2014	12/23/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/11/2016	4/10/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/26/2014	12/23/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2016	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/26/2014	12/23/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/26/2014	12/23/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/23/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/26/2014	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/5/2022	11/30/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/3/2021	7/6/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/3/2021	7/6/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/3/2021	7/6/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/3/2021	7/6/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	12/23/2015