DEPARTMENT OF INSURANCE

Affiliations

Name	Dentalplans Com	DOIID	894687	NAIC NPN	8478510

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2015	3/31/2027
Active	Non Resident	Agent	Life	10/12/2015	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	01/20/2025	01/20/2025	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	3/4/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/24/2020	7/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/24/2020	7/8/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/28/2015
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/5/2019
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	10/30/2017
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	10/30/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clarke, Kedeshia	893595	Agent - Health	11/5/2015
Denied	Clarke, Kedeshia	893595	Agent - Life
Inactive	Fields, Carlos A	893923	Agent - Health	11/5/2015	5/22/2018
Inactive	Fields, Carlos A	893923	Agent - Life	11/5/2015	5/22/2018
Inactive	Gary, Neco Vashay	893652	Agent - Health	11/5/2015	5/22/2018
Denied	Gary, Neco Vashay	893652	Agent - Life
Inactive	Green, Shakesha Ann	893590	Agent - Health	11/5/2015	5/22/2018
Denied	Green, Shakesha Ann	893590	Agent - Life
Inactive	Harris, Robert	893602	Agent - Health	10/12/2015	5/22/2018
Inactive	Harris, Robert	893602	Agent - Life	10/12/2015	5/22/2018
Inactive	Hizy, Michael	893649	Agent - Health	11/5/2015	7/12/2016
Denied	Hizy, Michael	893649	Agent - Life
Inactive	Jones, Jodian Latoya	893594	Agent - Health	11/5/2015	5/22/2018
Inactive	Jones, Jodian Latoya	893594	Agent - Life	11/5/2015	5/22/2018
Denied	Keen, Margaret	994171	Agent - Health
Denied	Keen, Margaret	994171	Agent - Life
Inactive	Madison, Fernando Nicholas	893588	Agent - Health	11/5/2015	5/22/2018
Denied	Madison, Fernando Nicholas	893588	Agent - Life
Inactive	Mcdonald, Lawanna Denise	893589	Agent - Health	11/5/2015	1/31/2020
Denied	Mcdonald, Lawanna Denise	893589	Agent - Life
Active	Nehleber, Pamella Innette	893650	Agent - Health	11/5/2015
Denied	Nehleber, Pamella Innette	893650	Agent - Life
Inactive	Raphael, Chislyne	893593	Agent - Health	11/5/2015	5/22/2018
Denied	Raphael, Chislyne	893593	Agent - Life
Inactive	Solomon, Shanel	893601	Agent - Health	11/5/2015	8/15/2017
Inactive	Solomon, Shanel	893601	Agent - Life	11/18/2015	8/15/2017
Active	St Hilaire, Rony	893596	Agent - Health	11/11/2015
Active	St Hilaire, Rony	893596	Agent - Life	11/11/2015
Active	Stoll, Jennifer Joy	994161	Agent - Health	7/16/2018
Active	Stoll, Jennifer Joy	994161	Agent - Life	7/16/2018
Inactive	Vagnone-Takacs, Cynthia Marie	893598	Agent - Health	11/5/2015	4/30/2020
Denied	Vagnone-Takacs, Cynthia Marie	893598	Agent - Life