DEPARTMENT OF INSURANCE

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