DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hart, Leslie Ann	DOIID	851118	NAIC NPN	17051410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/8/2014	12/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/28/2016	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/8/2015	12/31/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/26/2014	12/1/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/8/2015	12/31/2017
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	1/27/2015	9/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/26/2014	12/1/2015
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/30/2017	12/31/2017