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DEPARTMENT OF INSURANCE
Licensee Search Details
Name
Aetna Medicaid Administrators LLC
DOIID
864675
NAIC NPN
8034127
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
12/30/2014
3/31/2026
*If a status is
Pending, Pending Replacement
,or the record displays
Affidavit on File
, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.
Address Information
Type
Address
Mailing
151 Farmington Avenue Rw61 (Roux-Halloran)Hartford, CT 06156
Business / Home Office
4750 S 44th Place, Ste 150 Phoenix, AZ 85040
Internet Information
Type
Address
Business Email
PadillaJL@aetna.com
Internet
aetnabetterhealth.com
Phone Information
Type
Phone
Business / Home Office
(860) 273-2259
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