DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandes, Stephanie	DOIID	881626	NAIC NPN	16507572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/25/2015	12/31/2016
Inactive	Non Resident	Agent	Health	10/10/2019	12/31/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	4/3/2024		12/31/2026
* 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
Staff Adjuster	10/15/2026	12/31/2026

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	8/12/2016	12/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/12/2016	12/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/1/2016	12/31/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/28/2019	11/17/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/10/2015	7/22/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	11/17/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/1/2016	9/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/12/2016	12/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/2/2019	11/17/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/30/2019	11/17/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2019	11/17/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/28/2019	11/17/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2016	1/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/1/2016	9/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/1/2016	9/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/14/2019	11/17/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/30/2019	11/17/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/4/2016	2/10/2017

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	11/22/2019	11/17/2020