DEPARTMENT OF INSURANCE

Affiliations

Name	Church, Stephanie Yolanda	DOIID	973759	NAIC NPN	16493900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/20/2017	8/31/2022
Inactive	Non Resident	Agent	Life	10/20/2017	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	8/31/2021	8/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/31/2021	7/13/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/31/2021	8/31/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/31/2022	7/18/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/31/2022	7/18/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	4/2/2019	7/6/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	4/2/2019	7/6/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/10/2021	7/13/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/19/2018	8/13/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/19/2018	8/13/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/1/2021	8/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/1/2021	8/31/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/24/2018	8/31/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/24/2018	8/31/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/31/2021	7/13/2022
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/1/2021	8/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/1/2021	8/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/1/2021	8/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2020	8/25/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/1/2020	8/25/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2020	8/25/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2020	8/25/2021
Inactive	Unum Insurance Company	301499	Agent - Health	10/1/2021	8/31/2022
Inactive	Unum Insurance Company	301499	Agent - Life	10/1/2021	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	Sutherland Global Services Inc	601788	Agent - Life	1/12/2022	8/31/2022
Inactive	Sutherland Global Services Inc	601788	Agent - Health	1/12/2022	8/31/2022