DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Erica Monique	DOIID	1079186	NAIC NPN	19407974

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/6/2023		8/31/2025
Inactive	Non Resident	Independent Adjuster	Property & Casualty	3/24/2020	8/31/2023
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/6/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/6/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Independent Adjuster - Property & Casualty	4/16/2020	8/31/2023