DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Deluca- Merola, Elexis Nicole	DOIID	959851	NAIC NPN	17040856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/10/2017	2/28/2022
Inactive	Non Resident	Agent	Life	7/10/2017	2/28/2022
* 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	American General Life Insurance Company	301585	Agent - Health	10/31/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	10/31/2017	12/23/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/21/2017	2/5/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/21/2017	2/5/2022
Inactive	LifeShield National Insurance Company	737111	Agent - Health	4/3/2019	12/20/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/30/2019	2/28/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/30/2020	3/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/23/2018	2/5/2022
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/23/2018	4/22/2022