DEPARTMENT OF INSURANCE

Affiliations

Name	Jean, Faudena	DOIID	971743	NAIC NPN	18380191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/9/2017		9/30/2026
* 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	07/15/2024	09/30/2024	08/09/2024	08/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/13/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/29/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/13/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/13/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/24/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	6/28/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	6/28/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/20/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/28/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	7/20/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	6/28/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	10/17/2019	1/31/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/29/2018
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/10/2017	7/8/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/12/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/27/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2023
Active	Humana Insurance Company	301104	Agent - Health	7/20/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/25/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/27/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/13/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/14/2020	6/28/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/2/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/14/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/14/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/14/2020	6/28/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	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
Active	Humana MarketPOINT Inc.	398092	Agent - Health	10/11/2023