DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Laurence	DOIID	1173489	NAIC NPN	17854066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/19/2021	11/30/2022
* 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
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/6/2021	8/30/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/6/2021	8/30/2022
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2021	8/30/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/11/2022	8/30/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/13/2022	8/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/15/2022	8/30/2022