DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mondesir, Fabienne	DOIID	1229654	NAIC NPN	20455929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/14/2022		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/1/2022	8/8/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/27/2024	7/22/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/25/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	4/25/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/9/2025	9/10/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/14/2022	1/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/24/2024	7/8/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/11/2026	10/6/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/24/2024	7/8/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/27/2024	7/22/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	3/17/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/2/2025	7/29/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/25/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/11/2026	10/6/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/11/2026	10/6/2026

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	10/19/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023