DEPARTMENT OF INSURANCE

Name	Hagen, Joyce	DOIID	362920	NAIC NPN	7197142

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Administrator	Not Applicable	4/9/1999	5/31/2009

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Passport Health Plan AmeriHealth Mercy 305 W. Broadway, 3rd FLLouisville, KY 40202
Residence	Not Public Information

Internet Information

Type	Address
Business Email	joyce.hagen@amerihealthmercy.org