DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Renew.Com Insurance Services LLC	DOIID	991714	NAIC NPN	18348864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/19/2018	11/21/2019
Inactive	Non Resident	Agent	Health	4/19/2018	11/21/2019
* 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	5/17/2018	11/21/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/17/2018	11/21/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/17/2018	11/21/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/15/2018	11/21/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/2018	11/21/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2018	11/21/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/4/2019	11/21/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	5/17/2018	11/21/2019
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2018	11/21/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/10/2018	11/21/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/3/2018	11/21/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018	11/21/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bishop, Steven	998170	Agent - Health	8/15/2018	11/21/2019
Inactive	Bishop, Steven	998170	Agent - Life	8/16/2018	11/21/2019
Inactive	Davis, George Henry	616668	Agent - Health	7/26/2018	11/21/2019
Inactive	Davis, George Henry	616668	Agent - Life	7/26/2018	11/21/2019
Inactive	Depena, Marlynn	998173	Agent - Health	9/6/2018	11/21/2019
Inactive	Depena, Marlynn	998173	Agent - Life	9/11/2018	11/21/2019
Inactive	Drayton, Desi D	929454	Agent - Health	10/12/2018	11/21/2019
Inactive	Guice, Patricia Ann	819219	Agent - Health	9/27/2018	11/21/2019
Inactive	Guice, Patricia Ann	819219	Agent - Life	10/8/2018	11/21/2019
Inactive	Pietz, Brynna	991320	Agent - Health	4/19/2018	9/11/2019
Inactive	Pietz, Brynna	991320	Agent - Life	4/19/2018	9/11/2019
Inactive	Rider, Mariah Lashon	998185	Agent - Health	9/24/2018	11/21/2019
Inactive	Rider, Mariah Lashon	998185	Agent - Life	9/24/2018	11/21/2019
Inactive	Willis, Aubrey Elizabeth	1009844	Agent - Health	10/3/2018	11/21/2019
Inactive	Willis, Aubrey Elizabeth	1009844	Agent - Life	10/3/2018	11/21/2019