DEPARTMENT OF INSURANCE

Affiliations

Name	Brun, Carme	DOIID	895460	NAIC NPN	16341652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/14/2015		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/14/2018	4/3/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	4/4/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/14/2018	4/3/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/11/2019	7/23/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	6/6/2023	8/29/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/12/2019	11/9/2019
Pending Replacement	Anthem Life Insurance Company	301209	Agent - Health	9/23/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/9/2018	5/10/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/12/2022	12/20/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/9/2018	5/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/14/2018	4/3/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/9/2018	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/9/2018	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/9/2018	5/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/9/2018	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/9/2018	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/9/2018	5/10/2018
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/12/2017	1/19/2023
Pending Replacement	Lumico Life Insurance Company	300354	Agent - Health	11/18/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/1/2019	4/3/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/18/2018	7/22/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/22/2018	12/6/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	2/22/2018	12/6/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/6/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/22/2018	12/6/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Designated Agent Company Inc.	681257	Agent - Health	9/19/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	3/4/2019	4/20/2022