DEPARTMENT OF INSURANCE

Affiliations

Name	Piper, Hazel A	DOIID	961739	NAIC NPN	18046629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/24/2017		5/31/2027
* 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	03/15/2025	05/31/2025	04/23/2025	04/23/2025	Yes

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	10/23/2020	9/9/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/23/2020	9/9/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/23/2020	9/9/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/5/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/24/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/31/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/28/2019	12/12/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/6/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2017	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	6/26/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2017	6/8/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/8/2025
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	10/23/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/23/2020	9/9/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/14/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/14/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/14/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/27/2019
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019

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	2/12/2019	4/27/2021
Active	Gohealth LLC	691445	Agent - Health	2/16/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/18/2019