DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Horn, Simon L	DOIID	963538	NAIC NPN	2448634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/14/2017	8/31/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/28/2022	8/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2022	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/28/2022	8/31/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/3/2018	10/11/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/1/2017	10/11/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/24/2020	10/11/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/12/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/1/2017	10/11/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2018	10/11/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/15/2018	12/19/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/28/2022	8/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	12/5/2018	8/31/2022