DEPARTMENT OF INSURANCE

Affiliations

Name	Cruz, Carmella	DOIID	1072245	NAIC NPN	19406893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/28/2020		2/28/2026
* 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
Agent	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/18/2020	11/19/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	11/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/18/2020	11/19/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/4/2020	5/8/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	5/8/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2023	9/18/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/14/2022	9/30/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	5/8/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/8/2023	9/18/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/11/2020	9/18/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/25/2023	9/18/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/3/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/14/2023	9/18/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/8/2021	11/14/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/18/2020	11/19/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2022	9/30/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/14/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/14/2022	9/30/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/5/2020	12/12/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/5/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/5/2020	2/10/2025