DEPARTMENT OF INSURANCE

Affiliations

Name	Sidecar Health Insurance Solutions LLC	DOIID	1027229	NAIC NPN	18868486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/3/2019	3/31/2027
Active	Non Resident	Agent	Life	6/19/2019	3/31/2027
Active	Non Resident	Agent	Health	6/19/2019	3/31/2027
* 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
Active	SiriusPoint America Insurance Company	301148	Agent - Health	12/9/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Berlinger, Brandon	1168046	Agent - Health
Denied	Berlinger, Brandon	1168046	Agent - Life
Inactive	Blackburn, Aubrie Ann	1046148	Agent - Health	8/7/2019	1/31/2021
Inactive	Brooks, Holly Olivia	1126316	Agent - Health	7/6/2021	5/16/2023
Inactive	Burns, Tamisa Lyn	1045510	Agent - Health	12/28/2021	7/31/2023
Inactive	Faught, Keyanee	999698	Agent - Health	11/19/2021	3/31/2023
Inactive	Faught, Keyanee	999698	Agent - Life	11/19/2021	7/7/2022
Denied	Foderaro, Nicholas J	1169648	Agent - Health
Denied	Foderaro, Nicholas J	1169648	Agent - Life
Inactive	Gamoneda, Jasmine	1153763	Agent - Health	11/4/2021	5/16/2023
Denied	Hatch, Carter	1130317	Agent - Health
Inactive	Hayhurst, Stacey	1119949	Agent - Health	3/4/2021	4/5/2023
Denied	Hayhurst, Stacey	1119949	Agent - Life
Inactive	Hehl, Adam	999700	Agent - Health	11/19/2021	7/28/2023
Inactive	Hehl, Adam	999700	Agent - Life	11/19/2021	7/7/2022
Inactive	Lecuona, Edurne	1107902	Agent - Health	1/7/2021	8/2/2021
Denied	Lecuona, Edurne	1107902	Agent - Life
Inactive	Murray, Malia	1045321	Agent - Health	8/7/2019	11/17/2023
Inactive	Nielsen, Michael A	1045326	Agent - Health	8/7/2019	2/3/2025
Active	Quigley, Patrick	945203	Administrator - Not Applicable	4/3/2019
Active	Quigley, Patrick	945203	Agent - Health	6/19/2019
Active	Quigley, Patrick	945203	Agent - Life	6/19/2019
Denied	Roundy, Devin	1162078	Agent - Health
Inactive	Smith, Taylor	1045324	Agent - Health	8/7/2019	5/16/2023
Inactive	Snow, Danielle	1045316	Agent - Health	8/7/2019	9/15/2020