DEPARTMENT OF INSURANCE
Affiliations
NamePack, Soterica DOIID848375NAIC NPN17344164
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/28/202111/30/2022 
ActiveNon ResidentStaff AdjusterProperty & Casualty1/17/2024 11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health6/5/202211/30/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health6/5/202211/30/2022
InactiveAetna Life Insurance Company301140Agent - Health6/5/202211/30/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/24/202210/4/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/24/202210/4/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/24/202210/4/2022
InactiveCompBenefits Dental, Inc.591692Agent - Health8/26/201412/23/2015
InactiveCompcare Health Services Insurance Corporation948751Agent - Health5/24/202210/4/2022
InactiveDental Concern Inc. (The)301641Agent - Health8/26/201412/23/2015
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/11/20164/10/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/26/201412/23/2015
InactiveHumana Health Plan, Inc.300142Agent - Health10/28/20164/10/2017
InactiveHumana Insurance Company301104Agent - Health8/26/201412/23/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/26/201412/23/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/201412/23/2015
InactiveKanawha Insurance Company300127Agent - Health8/26/201410/22/2015
InactiveSilverScript Insurance Company663526Agent - Health6/5/202211/30/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/3/20217/6/2021
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/3/20217/6/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/3/20217/6/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/3/20217/6/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health4/6/201512/23/2015

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