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DEPARTMENT OF INSURANCE
Affiliations
Name
Surratt, Marie L
DOIID
925144
NAIC NPN
17142691
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
8/19/2016
12/31/2017
Inactive
Non Resident
Agent
Life
8/19/2016
12/31/2017
* 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
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
10/7/2016
12/31/2017
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
10/7/2016
12/31/2017
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/7/2016
12/31/2017
Inactive
Humana Insurance Company
301104
Agent - Health
10/7/2016
12/31/2017
Inactive
Humana Insurance Company
301104
Agent - Life
10/7/2016
12/31/2017
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
10/7/2016
12/31/2017
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
10/12/2016
12/31/2017
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
TZ Insurance Solutions LLC
727470
Agent - Life
10/27/2016
1/11/2017
Inactive
TZ Insurance Solutions LLC
727470
Agent - Health
10/27/2016
1/11/2017
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