PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDentalplans ComDOIID894687NAIC NPN8478510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/12/2015 3/31/2027
ActiveNon ResidentAgentHealth10/12/2015 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health3/4/2023 
InactiveAetna Life Insurance Company301140Agent - Health3/24/20207/8/2022
InactiveAetna Life Insurance Company301140Agent - Life3/24/20207/8/2022
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/28/2015 
ActiveDental Concern Inc. (The)301641Agent - Health4/5/2019 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Health10/30/2017 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Life10/30/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveClarke, Kedeshia 893595Agent - Health11/5/2015 
DeniedClarke, Kedeshia 893595Agent - Life  
InactiveFields, Carlos A 893923Agent - Health11/5/20155/22/2018
InactiveFields, Carlos A 893923Agent - Life11/5/20155/22/2018
InactiveGary, Neco Vashay 893652Agent - Health11/5/20155/22/2018
DeniedGary, Neco Vashay 893652Agent - Life  
InactiveGreen, Shakesha Ann 893590Agent - Health11/5/20155/22/2018
DeniedGreen, Shakesha Ann 893590Agent - Life  
InactiveHarris, Robert 893602Agent - Health10/12/20155/22/2018
InactiveHarris, Robert 893602Agent - Life10/12/20155/22/2018
InactiveHizy, Michael 893649Agent - Health11/5/20157/12/2016
DeniedHizy, Michael 893649Agent - Life  
InactiveJones, Jodian Latoya 893594Agent - Health11/5/20155/22/2018
InactiveJones, Jodian Latoya 893594Agent - Life11/5/20155/22/2018
DeniedKeen, Margaret 994171Agent - Health  
DeniedKeen, Margaret 994171Agent - Life  
InactiveMadison, Fernando Nicholas 893588Agent - Health11/5/20155/22/2018
DeniedMadison, Fernando Nicholas 893588Agent - Life  
InactiveMcdonald, Lawanna Denise 893589Agent - Health11/5/20151/31/2020
DeniedMcdonald, Lawanna Denise 893589Agent - Life  
ActiveNehleber, Pamella Innette 893650Agent - Health11/5/2015 
DeniedNehleber, Pamella Innette 893650Agent - Life  
InactiveRaphael, Chislyne 893593Agent - Health11/5/20155/22/2018
DeniedRaphael, Chislyne 893593Agent - Life  
InactiveSolomon, Shanel 893601Agent - Health11/5/20158/15/2017
InactiveSolomon, Shanel 893601Agent - Life11/18/20158/15/2017
ActiveSt Hilaire, Rony 893596Agent - Health11/11/2015 
ActiveSt Hilaire, Rony 893596Agent - Life11/11/2015 
ActiveStoll, Jennifer Joy 994161Agent - Health7/16/2018 
ActiveStoll, Jennifer Joy 994161Agent - Life7/16/2018 
InactiveVagnone-Takacs, Cynthia Marie 893598Agent - Health11/5/20154/30/2020
DeniedVagnone-Takacs, Cynthia Marie 893598Agent - Life  

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