PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameQuattlebaum, Mark DOIID1065318NAIC NPN19260642
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/14/2019 6/30/2026
ActiveNon ResidentAgentHealth11/14/2019 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health7/14/20219/10/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/14/20219/10/2024
InactiveAetna Life Insurance Company301140Agent - Health7/14/20219/10/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/27/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/27/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/2/20194/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/2/20194/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health11/25/201912/13/2022
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/202212/5/2025
ActiveColonial Penn Life Insurance Company300491Agent - Life10/9/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/27/2021 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/4/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/27/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health11/20/201912/15/2020
InactiveHumana Insurance Company301104Agent - Health12/2/201912/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health11/26/201912/13/2022
InactiveSilverScript Insurance Company663526Agent - Health7/14/20219/10/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/26/202012/5/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/26/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/26/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/26/202012/5/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health2/4/202011/27/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/10/202311/27/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life12/2/20194/15/2025
ActiveDesignated Agent Company Inc.681257Agent - Health12/2/2019 
ActiveGohealth LLC691445Agent - Health2/16/2024 

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