DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Good Faith Insurance Services Property & Casualty	DOIID	1165920	NAIC NPN	17282642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2021		3/31/2027
Active	Non Resident	Agent	Life	10/12/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	12/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/14/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	12/14/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/6/2025
Active	SilverScript Insurance Company	663526	Agent - Health	12/14/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/6/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/6/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2022	3/3/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2022	3/3/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Montes, Edda Lee	737724	Agent - Health	10/12/2021
Active	Montes, Edda Lee	737724	Agent - Life	10/12/2021