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DEPARTMENT OF INSURANCE
Affiliations
Name
Blaise, Fedlena
DOIID
897357
NAIC NPN
17743632
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
10/29/2015
4/30/2019
* 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
Inactive
AXIS Insurance Company
301290
Agent - Health
9/25/2018
4/30/2019
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
1/15/2018
2/12/2019
Inactive
Continental General Insurance Company
300691
Agent - Health
8/9/2018
1/24/2019
Inactive
Federal Insurance Company
301144
Agent - Health
3/18/2019
4/30/2019
Inactive
HCC Life Insurance Company
301827
Agent - Health
5/5/2016
10/3/2016
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
10/31/2015
3/26/2016
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/31/2015
3/26/2016
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/31/2015
3/26/2016
Inactive
Humana Insurance Company
301104
Agent - Health
11/22/2017
6/4/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/31/2015
3/26/2016
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
10/31/2015
3/26/2016
Inactive
Kanawha Insurance Company
300127
Agent - Health
11/21/2017
8/9/2018
Inactive
LifeShield National Insurance Company
737111
Agent - Health
8/29/2018
4/30/2019
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
7/26/2018
4/30/2019
Inactive
Unified Life Insurance Company
543169
Agent - Health
5/10/2016
11/16/2017
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
9/28/2018
4/30/2019
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