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DEPARTMENT OF INSURANCE
Affiliations
Name
Balentine, Latezeon Humphrey
DOIID
1192352
NAIC NPN
19506988
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
7/31/2023
9/30/2025
Active
Non Resident
Agent
Personal Lines
3/9/2022
9/30/2025
* 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
07/15/2025
09/30/2025
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
8/7/2023
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
8/7/2023
Active
Aetna Life Insurance Company
301140
Agent - Health
8/7/2023
Inactive
Cimarron Insurance Company, Inc.
300842
Agent - Personal Lines
5/18/2022
6/10/2022
Inactive
Progressive Direct Insurance Company
301379
Agent - Personal Lines
1/18/2024
2/5/2024
Active
SilverScript Insurance Company
663526
Agent - Health
8/7/2023
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
6/4/2024
1/15/2025
Inactive
Ttec Financial Services Management LLC
881063
Agent - Personal Lines
1/18/2024
2/1/2024
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