DEPARTMENT OF INSURANCE
Affiliations
NameInsurance Solution ServicesDOIID1088360NAIC NPN19468436
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/7/2020 3/31/2026
* 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
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health11/11/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/11/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/11/2020 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/9/202112/16/2024
ActiveArcadian Health Plan, Inc.728196Agent - Health12/10/2020 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/24/2022 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/24/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/3/2020 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health2/3/2023 
ActiveHumana Health Plan, Inc.300142Agent - Health12/18/2023 
ActiveHumana Insurance Company301104Agent - Health11/2/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health7/12/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health6/16/2022 
ActiveSilverScript Insurance Company663526Agent - Health11/11/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBushman, Bryce Logan 952891Agent - Health9/28/2021 
InactiveDunn, Shawn Blair 627038Agent - Health7/7/20209/28/2021

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