DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Church, William Harrison	DOIID	995165	NAIC NPN	18626156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/24/2018		9/30/2024
* 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

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	2/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/8/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	2/8/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/4/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	9/4/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/17/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/4/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	9/4/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/4/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2020
Active	SilverScript Insurance Company	663526	Agent - Health	2/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/12/2021	2/19/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	5/24/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/12/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/12/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/12/2021	2/19/2024

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	3/30/2021