DEPARTMENT OF INSURANCE

Name	Aetna Health Management, LLC	DOIID	565487	NAIC NPN	2257432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	3/10/2003		3/31/2025
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	11/22/2016	6/13/2019

*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
Administrator	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Mailing	151 Farmington Avenue (Rw61 Deotte) Hartford, CT 06156
Business / Home Office	151 Farmington Ave (Rw61 Deotte) Hartford, CT 06156

Internet Information

Type	Address
Business Email	padillajl@aetna.com

Phone Information

Type	Phone
Business / Home Office	(860) 273-1244