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.

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	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	HealthSpring National Health Insurance Company	300235	Agent - Health	10/4/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/8/2025
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
Active	Dugan, Teresa Ann	1357250	Agent - Health	4/28/2025
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