DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fontil, Abimeleck Ralph	DOIID	975355	NAIC NPN	17361153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/23/2022		7/31/2026
* 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	05/15/2024	07/31/2024	05/13/2024	05/13/2024	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	10/6/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/6/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/6/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/8/2018	7/27/2020
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/22/2018	2/12/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/21/2022	1/30/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/21/2022	1/30/2024
Inactive	Federal Insurance Company	301144	Agent - Health	8/20/2018	7/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/9/2017	5/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/1/2022	1/30/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/9/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/21/2022	1/30/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/9/2017	5/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/1/2022	1/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/6/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/7/2018	1/12/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Clear Link Ins Agency LLC	805173	Agent - Health	11/10/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	8/20/2018	3/26/2019