DEPARTMENT OF INSURANCE

Affiliations

Name	Guillaume, Fedna	DOIID	931250	NAIC NPN	17724305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/6/2018		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/12/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/13/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/12/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/12/2022
Active	American General Life Insurance Company	301585	Agent - Health	4/6/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/24/2022	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/24/2022	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/1/2021	5/24/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/22/2022	5/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/13/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2018	2/22/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/14/2016	3/17/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/14/2016	3/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2016	3/17/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/14/2016	12/10/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/14/2016	3/17/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/14/2016	3/17/2017
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/17/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/12/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/6/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/6/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/6/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/11/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019	2/10/2025