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DEPARTMENT OF INSURANCE
Affiliations
Name
Fortune Ins Solutions LLC
DOIID
955554
NAIC NPN
9137209
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/26/2017
1/23/2020
Inactive
Non Resident
Agent
Health
5/26/2017
1/23/2020
* 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
Dental Concern Inc. (The)
301641
Agent - Health
6/12/2019
12/19/2019
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Insurance Company
301104
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Insurance Company
301104
Agent - Life
6/10/2019
12/19/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
6/10/2019
12/19/2019
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
6/10/2019
12/19/2019
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
6/10/2019
12/19/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/12/2017
1/23/2020
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
6/12/2017
1/23/2020
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
6/12/2017
1/23/2020
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
6/12/2017
4/30/2018
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Ptolomey, Mark Ian
955273
Agent - Health
5/26/2017
1/23/2020
Inactive
Ptolomey, Mark Ian
955273
Agent - Life
5/26/2017
1/23/2020
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