DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Banout, Ann Marie	DOIID	986894	NAIC NPN	8555748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/7/2018	1/31/2021
Inactive	Non Resident	Agent	Life	3/7/2018	1/31/2021
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	1/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/10/2020	1/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/10/2020	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/10/2020	1/31/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/16/2018	8/16/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/10/2018	3/16/2021
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/10/2018	3/16/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/16/2018	8/16/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/16/2018	8/16/2018
Inactive	Humana Insurance Company	301104	Agent - Life	3/16/2018	8/16/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/16/2018	8/16/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/16/2018	8/16/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/10/2020	1/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/16/2020	1/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/16/2020	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/22/2019	1/31/2021