DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Andino, Elizabeth Ann	DOIID	891923	NAIC NPN	17718863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/30/2015		1/31/2025
Active	Resident	Agent	Life	7/10/2018		1/31/2025
Active	Resident	Agent	Limited Line Credit	4/5/2017		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Health and Life Insurance Company	300844	Agent - Health	4/6/2017
Active	American Health and Life Insurance Company	300844	Agent - Life	7/10/2018
Active	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	4/13/2017
Inactive	Merit Life Insurance Co.	300150	Agent - Health	4/6/2017	12/12/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Life	7/10/2018	7/12/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	9/15/2017	12/12/2018
Active	Triton Insurance Company	300654	Agent - Limited Line Credit	4/13/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/2016	3/1/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	3/1/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/24/2016	12/19/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/24/2016	3/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Interstate Agency Inc	610890	Agent - Health	8/10/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Limited Line Credit	8/10/2018	2/21/2019
Inactive	Interstate Agency Inc	610890	Agent - Life	8/10/2018	2/21/2019
Active	Onemain Assurance Services LLC	751094	Agent - Health	6/19/2018
Active	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	8/22/2018
Active	Onemain Assurance Services LLC	751094	Agent - Life	7/10/2018