DEPARTMENT OF INSURANCE

Affiliations

Name	O Connor, Elaine Mary	DOIID	927085	NAIC NPN	8751599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/30/2016	12/31/2025
Active	Non Resident	Agent	Property	8/14/2017	12/31/2025
Active	Non Resident	Agent	Casualty	8/14/2017	12/31/2025
Active	Non Resident	Agent	Health	8/30/2016	12/31/2025
* 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	10/15/2025	12/31/2025

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	9/6/2016	7/5/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/6/2016	7/5/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/14/2020	4/27/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/14/2020	4/27/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	4/19/2021
Active	Bristol West Insurance Company	301655	Agent - Property	4/19/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/6/2016	2/22/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/6/2016	2/22/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/17/2017	7/11/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/17/2017	7/11/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/13/2016	1/31/2017
Active	Farmers Insurance Exchange	300336	Agent - Casualty	4/19/2021
Active	Farmers Insurance Exchange	300336	Agent - Property	4/19/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/6/2016	7/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/1/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/1/2021
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/1/2021
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/1/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/3/2016	1/4/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/3/2016	1/4/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/13/2016	1/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2016	1/31/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/13/2016	1/31/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	1/31/2017
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	9/14/2017	7/11/2018
Inactive	Sentry Select Insurance Company	301648	Agent - Property	9/14/2017	7/11/2018
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	7/12/2018	7/23/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	7/12/2018	7/23/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/5/2018	7/23/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/5/2018	7/23/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/17/2020	3/17/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/17/2020	3/17/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/17/2020	3/17/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/17/2020	3/17/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/24/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/24/2020	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Life	4/16/2021	4/27/2021
Active	Fx Insurance Agency, LLC	646184	Agent - Property	4/19/2021
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	4/19/2021