DEPARTMENT OF INSURANCE

Affiliations

Name	Fidelity Health Insurance Services LLC DBA : FIDELITY HEALTH MARKETPLACE LLC	DOIID	887889	NAIC NPN	17680352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/25/2015	3/31/2027
Active	Non Resident	Agent	Property	3/30/2018	3/31/2027
Active	Non Resident	Agent	Casualty	3/30/2018	3/31/2027
Active	Non Resident	Agent	Life	8/25/2015	3/31/2027
* 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
Agent	01/15/2025	03/31/2025	02/18/2025	02/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/6/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/6/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/6/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/6/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	3/10/2023
Active	CHA HMO, Inc.	300662	Agent - Health	11/7/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/16/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/16/2023
Active	Cigna National Health Insurance Company	300235	Agent - Health	10/4/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	4/3/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/6/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/22/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/10/2024
Active	Humana Insurance Company	301104	Agent - Health	6/10/2022
Active	Loyal American Life Insurance Company	301172	Agent - Health	11/7/2022
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/25/2023
Active	SilverScript Insurance Company	663526	Agent - Health	7/10/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/2/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/2/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/2/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/2/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/5/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/5/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Adkins, Constance Opal	1147840	Agent - Health	10/5/2021
Active	Arredondo, Catalina	1218425	Agent - Health	2/14/2023
Active	Barker, Kenneth	1233261	Agent - Health	4/11/2024
Denied	Beasley, Andrew	869122	Agent - Health
Denied	Beasley, Andrew	869122	Agent - Life
Denied	Bergeron, Alceide Joseph	1098273	Agent - Casualty
Denied	Bergeron, Alceide Joseph	1098273	Agent - Health
Denied	Bergeron, Alceide Joseph	1098273	Agent - Life
Denied	Bergeron, Alceide Joseph	1098273	Agent - Property
Active	Bicknell, Paul M	549548	Agent - Health	4/11/2024
Denied	Bourque, Megan Ryan	992346	Agent - Health
Denied	Bourque, Megan Ryan	992346	Agent - Life
Denied	Brown, Brian J	703613	Agent - Health
Denied	Brown, Brian J	703613	Agent - Life
Active	Browne, Adam Joseph	1217287	Agent - Health	2/14/2023
Inactive	Bryer, Jennifer L	1143522	Agent - Health	7/23/2021	11/30/2023
Active	Butler, Gary	974798	Agent - Health	9/27/2023
Active	Chen, Cheng-Tzung	1328055	Agent - Health	4/11/2024
Denied	Chouinard, Marc Daniel	964455	Agent - Health
Denied	Chouinard, Marc Daniel	964455	Agent - Life
Denied	Clarkson, Jacob	999331	Agent - Health
Denied	Clarkson, Jacob	999331	Agent - Life
Active	Cochran, Travis James	1090324	Agent - Health	4/20/2022
Active	Coomber, Karen V	955514	Agent - Casualty	7/16/2019
Active	Coomber, Karen V	955514	Agent - Health	7/16/2019
Active	Coomber, Karen V	955514	Agent - Life	7/16/2019
Active	Coomber, Karen V	955514	Agent - Property	7/16/2019
Active	Cunningham, Kimberly May	988994	Agent - Health	4/11/2024
Active	Davis, Frederick Alexander	1140070	Agent - Health	9/27/2023
Active	Davis, Henry C	1193901	Agent - Health	2/14/2023
Active	De Leo, David	1328035	Agent - Health	4/11/2024
Denied	Dobrowski, Jody-Lyn	987932	Agent - Health
Denied	Dobrowski, Jody-Lyn	987932	Agent - Life
Denied	Driscoll, Michael	986298	Agent - Casualty
Denied	Driscoll, Michael	986298	Agent - Health
Denied	Driscoll, Michael	986298	Agent - Life
Denied	Driscoll, Michael	986298	Agent - Property
Denied	Eichorn, Sarah	1108754	Agent - Health
Denied	Eichorn, Sarah	1108754	Agent - Life
Active	Eifler, Christopher Kelley	1217232	Agent - Health	2/14/2023
Active	English, Kyla	1288798	Agent - Health	9/27/2023
Denied	Fernandez, Katiemarie	1157105	Agent - Health
Inactive	Fernandez, Katiemarie	1157105	Agent - Life	11/22/2021	10/5/2023
Active	Fierro, Anthony	829036	Agent - Health	4/20/2022
Denied	Gebbia, Richard	1209802	Agent - Health
Denied	Gebbia, Richard	1209802	Agent - Life
Denied	Greene, Michael	1068176	Agent - Life
Active	Gutzwiller, Sean Michael	839221	Agent - Health	10/5/2021
Active	Gutzwiller, Sean Michael	839221	Agent - Life	10/5/2021
Active	Hansen, Julianne Gregory	1217306	Agent - Health	2/14/2023
Active	Harnist, Heidi Lynn	1218225	Agent - Health	2/14/2023
Active	Harnist, Heidi Lynn	1218225	Agent - Life	3/7/2023
Active	Hassell, Breyli Rene	1328025	Agent - Health	4/11/2024
Inactive	Hill, Joseph Anson	854695	Agent - Health	4/20/2022	9/12/2023
Active	Hindsley, Stephen Mitchell	1144892	Agent - Health	4/20/2022
Active	Hindsley, Stephen Mitchell	1144892	Agent - Life	4/20/2022
Active	Horton, Denise Ann	1195468	Agent - Health	4/20/2022
Denied	Howells, Anne	920017	Agent - Health
Denied	Howells, Anne	920017	Agent - Life
Denied	Hutchings, Jessica Lyn	704273	Agent - Health
Denied	Hutchings, Jessica Lyn	704273	Agent - Life
Active	Jackson, Fredric L	626947	Agent - Health	4/11/2024
Denied	Jackson, Noah Samuel	1171665	Agent - Health
Active	Jackson, Noah Samuel	1171665	Agent - Life	11/22/2021
Denied	Johnston, Heather	938365	Agent - Health
Denied	Johnston, Heather	938365	Agent - Life
Active	Jones, Brandon J Loren	712667	Agent - Health	4/20/2022
Denied	Jones, Brandon J Loren	712667	Agent - Life
Denied	Joyce, Matthew A	1070050	Agent - Health
Denied	Joyce, Matthew A	1070050	Agent - Life
Active	Karch, Justin David	738272	Agent - Health	4/11/2024
Active	Keiscer, Robert Callis	1289441	Agent - Health	9/27/2023
Denied	Kennedy, Robert H	809403	Agent - Casualty
Denied	Kennedy, Robert H	809403	Agent - Health
Denied	Kennedy, Robert H	809403	Agent - Life
Denied	Kennedy, Robert H	809403	Agent - Property
Inactive	Krestel, Christopher Paul	789332	Agent - Health	12/3/2021	4/11/2024
Denied	Krestel, Christopher Paul	789332	Agent - Life
Active	Laase, Mary Ellen	1281550	Agent - Health	9/27/2023
Denied	Lally, Amber	934710	Agent - Health
Denied	Lally, Amber	934710	Agent - Life
Denied	Laungani, Rohan	1250351	Agent - Health
Active	Laungani, Rohan	1250351	Agent - Life	3/7/2023
Active	Ledesma, Armando	1328045	Agent - Health	4/11/2024
Denied	Leonard, Jeffrey	1171696	Agent - Health
Active	Leonard, Jeffrey	1171696	Agent - Life	11/22/2021
Active	Little, Ryann Lee	1146013	Agent - Health	10/5/2021
Denied	Little, Ryann Lee	1146013	Agent - Life
Inactive	Lourenco, Robcelio S	715613	Agent - Health	12/15/2020	9/30/2023
Denied	Lourenco, Robcelio S	715613	Agent - Life
Active	Luechung, Christina	1132143	Agent - Health	4/20/2022
Active	Luechung, Christina	1132143	Agent - Life	4/20/2022
Denied	Machera, Rachel R	660553	Agent - Health
Denied	Machera, Rachel R	660553	Agent - Life
Active	Mathis, George Lafarrell	1217538	Agent - Health	2/14/2023
Active	Mattia, Tressa	1007783	Agent - Health	2/14/2023
Denied	Motz, Brian	594132	Agent - Health
Denied	Motz, Brian	594132	Agent - Life
Denied	Munson, Ryan C	1171958	Agent - Health
Inactive	Munson, Ryan C	1171958	Agent - Life	11/22/2021	4/30/2024
Denied	Narkiewicz, Jeffrey	1001330	Agent - Health
Denied	Narkiewicz, Jeffrey	1001330	Agent - Life
Active	Nuccio, Benjamin Paul	1007089	Agent - Health	4/11/2024
Denied	Paulish, Nicholas	651934	Agent - Casualty
Inactive	Paulish, Nicholas	651934	Agent - Health	7/16/2019	11/24/2020
Inactive	Paulish, Nicholas	651934	Agent - Life	7/16/2019	11/24/2020
Denied	Paulish, Nicholas	651934	Agent - Property
Denied	Pol, Xavier Jose	860484	Agent - Health
Inactive	Pol, Xavier Jose	860484	Agent - Life	1/5/2022	3/7/2022
Denied	Powers, Jennifer R	1069628	Agent - Health
Denied	Quintal, Laurie R	1070443	Agent - Casualty
Denied	Quintal, Laurie R	1070443	Agent - Property
Active	Rahim, Matthew Justin	1328014	Agent - Health	4/11/2024
Active	Ramirez Rocha, Jose	1092982	Agent - Health	9/27/2023
Active	Ramirez, Felix Mendoza	1193639	Agent - Health	4/20/2022
Active	Ramos, Jorge R	927354	Agent - Health	4/11/2024
Active	Rasheed, Theodis Ali	692310	Agent - Health	2/14/2023
Active	Rasheed, Theodis Ali	692310	Agent - Life	3/7/2023
Inactive	Redman, Ryan Joe	997657	Agent - Life	8/2/2022	12/1/2022
Denied	Roeding, Andrea	987338	Agent - Health
Active	Roeding, Andrea	987338	Agent - Life	2/14/2023
Denied	Rost, Robert	1129534	Agent - Health
Inactive	Rost, Robert	1129534	Agent - Life	4/4/2024	7/31/2024
Active	Russell, Delinda Renae	1329377	Agent - Health	4/11/2024
Denied	Scafe, Maurice E	1130864	Agent - Casualty
Denied	Scafe, Maurice E	1130864	Agent - Health
Denied	Scafe, Maurice E	1130864	Agent - Life
Denied	Scafe, Maurice E	1130864	Agent - Property
Active	Seitz, Benjamin	828994	Agent - Health	4/11/2024
Denied	Sheldon, Jonathan David	1293318	Agent - Health
Denied	Sheldon, Jonathan David	1293318	Agent - Life
Active	Sifuentes, Alexandria Glee	987363	Agent - Health	4/20/2022
Active	Simpson, Amanda	1140248	Agent - Health	7/23/2021
Denied	Simpson, Amanda	1140248	Agent - Life
Inactive	Simpson, Rodney	1067772	Agent - Health	11/22/2021	5/19/2023
Inactive	Simpson, Rodney	1067772	Agent - Life	11/22/2021	9/30/2023
Inactive	Skaggs, Dawn	905529	Agent - Life	2/16/2021	8/31/2021
Denied	St Clair, Jerrie Janelle	808151	Agent - Health
Inactive	St Clair, Jerrie Janelle	808151	Agent - Life	2/2/2022	6/30/2024
Active	St Vil, Madgerda	1145031	Agent - Health	7/23/2021
Denied	St Vil, Madgerda	1145031	Agent - Life
Active	Staggs, Brandon	907144	Agent - Health	2/14/2023
Active	Staggs, Brandon	907144	Agent - Life	2/14/2023
Active	Tambling, Maresa	1045438	Agent - Health	2/14/2023
Active	Tambling, Maresa	1045438	Agent - Life	2/14/2023
Active	Taylor, Lyndsey	968315	Agent - Health	2/14/2023
Active	Taylor, Lyndsey	968315	Agent - Life	2/14/2023
Denied	Terry, Michael J	1040688	Agent - Health
Denied	Terry, Michael J	1040688	Agent - Life
Active	Torres, Roberto	1217188	Agent - Health	2/14/2023
Active	Torres, Roberto	1217188	Agent - Life	3/7/2023
Active	Tyson, Bradley	894171	Agent - Health	3/25/2021
Inactive	Tyson, Bradley	894171	Agent - Life	3/25/2021	7/6/2022
Denied	Verille, Mark P	913504	Agent - Casualty
Denied	Verille, Mark P	913504	Agent - Health
Denied	Verille, Mark P	913504	Agent - Life
Denied	Verille, Mark P	913504	Agent - Property
Active	Wagenborg, Lee	714371	Agent - Health	2/14/2023
Active	Wagenborg, Lee	714371	Agent - Life	3/7/2023
Denied	Wagner, Christian	1227208	Agent - Health
Inactive	Wagner, Christian	1227208	Agent - Life	3/7/2023	1/28/2025
Denied	Weaver, Pearce R	707853	Agent - Health
Denied	Weaver, Pearce R	707853	Agent - Life
Denied	West, Colleen	920976	Agent - Health
Denied	West, Colleen	920976	Agent - Life
Denied	Wight, Wayson D	1166438	Agent - Health
Active	Wight, Wayson D	1166438	Agent - Life	11/22/2021
Active	Wilson, Christopher Francis	1217155	Agent - Health	2/14/2023
Inactive	Wimmer, Ray	876727	Agent - Health	2/16/2021	2/28/2023
Inactive	Wimmer, Ray	876727	Agent - Life	2/16/2021	2/28/2023
Denied	Winbush, Marcus Andrew	967450	Agent - Health
Active	Wolfe, Allison K	1217187	Agent - Health	4/11/2024
Denied	Woolison, Leah M	1193672	Agent - Health
Denied	Woolison, Leah M	1193672	Agent - Life