DEPARTMENT OF INSURANCE

Affiliations

Name	Dorval, Maylissa	DOIID	1125230	NAIC NPN	19604848

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/18/2021		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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/29/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/29/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	3/29/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/18/2021	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/21/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/21/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/25/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/2/2021	4/10/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/20/2022	12/12/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	10/21/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/8/2022	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	3/29/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/27/2022	12/12/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/29/2023
Active	SilverScript Insurance Company	663526	Agent - Health	3/29/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/25/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/25/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/11/2021	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	10/18/2022
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	3/31/2024
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/15/2022	3/31/2025