DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Slack, Brian	DOIID	939805	NAIC NPN	17950663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/14/2016		12/31/2025
Active	Non Resident	Agent	Life	8/12/2019		12/31/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/10/2018	7/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/4/2017	12/15/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/13/2018	7/7/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	10/6/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	10/6/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2019	10/6/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/3/2019	10/6/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/11/2019	5/17/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	10/6/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/4/2017	12/15/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/10/2018	7/7/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/27/2018	8/22/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/23/2019	5/9/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/7/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/17/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/17/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Aptia Insurance Services Group LLC	1283785	Agent - Health
Pending	Aptia Insurance Services Group LLC	1283785	Agent - Life