DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sieracki, Brigitte	DOIID	1219225	NAIC NPN	6521690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/27/2022		4/30/2027
Active	Non Resident	Agent	Health	7/27/2022		4/30/2027
* 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	02/15/2025	04/30/2025	02/16/2025	02/16/2025	Yes

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	8/22/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/22/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/22/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/27/2022	5/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/27/2022	5/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/27/2022	5/25/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/15/2022	6/9/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/27/2022	5/25/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2022	6/9/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2022	6/9/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2022	6/9/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/17/2022	5/3/2023
Denied	Healthinsurance.Com, LLC	1082129	Agent - Life
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	5/1/2023
Denied	Togetherhealth Insurance LLC	1026438	Agent - Life
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022