DEPARTMENT OF INSURANCE
Affiliations
NameRisotti, Mary TeresaDOIID363079NAIC NPN7197253
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth9/25/1997 11/30/2025
ActiveResidentAgentLife9/25/1997 11/30/2025
InactiveResidentAgentHealth Maintenance Organization9/25/19973/1/2001 
InactiveResidentAgentPrepaid Dental Plan6/23/19983/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveADENTA, Inc.301437Agent - Health3/1/20013/31/2001
InactiveADENTA, Inc.301437Agent - Prepaid Dental Plan12/31/19983/1/2001
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization12/30/19983/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health1/24/20175/18/2019
InactiveAetna Life Insurance Company301140Agent - Health1/24/20175/18/2019
InactiveAetna Life Insurance Company301140Agent - Life1/24/20175/18/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/28/200011/19/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/28/200011/19/2007
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life6/8/20174/16/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/17/19993/31/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/17/19993/31/2022
InactiveAmerican General Life Insurance Company301585Agent - Health9/3/20023/23/2011
InactiveAmerican General Life Insurance Company301585Agent - Life5/7/20013/23/2011
InactiveAmerican Public Life Insurance Company300252Agent - Health11/8/20051/18/2011
InactiveAmerican Public Life Insurance Company300252Agent - Life11/8/20051/18/2011
InactiveAmerican United Life Insurance Company300498Agent - Health7/15/19991/23/2007
InactiveAmerican United Life Insurance Company300498Agent - Life7/15/19991/23/2007
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/24/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/13/19974/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/13/19974/15/2025
InactiveAssurity Life Insurance Company301099Agent - Health6/22/200612/15/2006
InactiveAssurity Life Insurance Company301099Agent - Life6/22/200612/15/2006
InactiveBanner Life Insurance Company301696Agent - Life9/13/20128/28/2015
InactiveBaptist Health Plan, Inc.300157Agent - Health2/6/20073/31/2019
InactiveCanada Life Assurance Company301192Agent - Health11/9/19989/2/2003
InactiveCanada Life Assurance Company301192Agent - Life11/9/19989/2/2003
InactiveCitizens Security Life Insurance Company301257Agent - Health2/23/19999/4/2003
InactiveCitizens Security Life Insurance Company301257Agent - Life2/23/19999/4/2003
InactiveColonial Life and Accident Insurance Company300846Agent - Health9/20/200210/27/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life9/20/200210/27/2006
InactiveCompBenefits Dental, Inc.591692Agent - Health1/10/200512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health1/11/20117/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life1/11/20117/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan12/30/19983/1/2001
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Medical Insurance Company300719Agent - Health10/19/199912/31/2000
InactiveConseco Medical Insurance Company300719Agent - Life10/19/199912/31/2000
InactiveCoventry Health and Life Insurance Company301771Agent - Health1/24/20175/18/2019
Pending ReplacementDental Care Plus Inc.301495Agent - Health5/15/2006 
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20026/15/2018
InactiveDental Plan Managers Inc.300547Agent - Health3/1/20013/31/2001
InactiveDental Plan Managers Inc.300547Agent - Prepaid Dental Plan6/23/19983/1/2001
InactiveDentiCare, Inc.300655Agent - Health5/14/200111/1/2005
InactiveFidelity Security Life Insurance Company300466Agent - Health4/25/201412/19/2024
InactiveFidelity Security Life Insurance Company300466Agent - Life4/25/201412/19/2024
InactiveFirst Colony Life Insurance Company301179Agent - Life1/28/19991/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/29/199812/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/29/199812/23/2008
InactiveGenworth Life Insurance Company300623Agent - Health10/16/20131/5/2015
InactiveGenworth Life Insurance Company300623Agent - Life10/16/20131/5/2015
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/13/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveGolden Rule Insurance Company301943Agent - Health7/25/201412/13/2020
InactiveGolden Rule Insurance Company301943Agent - Life7/25/201412/15/2020
InactiveGuarantee Trust Life Insurance Company301043Agent - Health8/27/199812/29/2000
InactiveGuarantee Trust Life Insurance Company301043Agent - Life8/27/199812/29/2000
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/9/20176/15/2018
InactiveHumana Health Plan, Inc.300142Agent - Health1/3/202012/15/2020
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization9/25/19973/1/2001
InactiveHumana Insurance Company301104Agent - Health9/25/199712/12/2024
InactiveHumana Insurance Company301104Agent - Life9/25/199712/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/9/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/9/20176/15/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health5/9/20176/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/9/20176/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health10/18/20015/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health6/22/19987/20/2000
InactiveIllinois Mutual Life Insurance Company301479Agent - Life6/22/19987/20/2000
InactiveKanawha Insurance Company300127Agent - Health12/10/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life12/10/201410/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health12/13/201310/29/2015
InactiveLifeUSA Insurance Company300386Agent - Health8/28/20008/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life8/28/20008/2/2002
InactiveMedAmerica Insurance Company301568Agent - Health9/16/20025/17/2005
InactiveMedico Insurance Company301559Agent - Health7/17/200011/30/2002
InactiveMidland National Life Insurance Company300923Agent - Health9/17/20012/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life9/17/20011/29/2002
InactiveMutual of Omaha Insurance Company301012Agent - Health9/1/20008/15/2011
ActiveNational Health Insurance Company300554Agent - Health8/28/2017 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life2/26/199910/18/2005
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health5/7/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life5/7/20013/31/2003
InactiveOmaha Insurance Company751908Agent - Health6/22/20175/22/2018
InactivePacifiCare Life Assurance Company301082Agent - Health2/23/19997/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life2/23/19997/31/2001
InactivePacifiCare Life and Health Insurance Company301304Agent - Health9/21/200511/25/2008
InactivePacifiCare Life and Health Insurance Company301304Agent - Life9/21/200511/25/2008
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization2/23/19993/1/2001
InactivePaul Revere Life Insurance Company300971Agent - Health1/26/19998/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life1/26/19998/24/2000
InactivePhysicians Mutual Insurance Company301084Agent - Health7/13/200111/19/2001
InactivePrincipal Life Insurance Company300129Agent - Health3/30/199811/30/2003
InactivePrincipal Life Insurance Company300129Agent - Life3/30/199811/30/2003
InactiveProtective Life Insurance Company300638Agent - Health5/14/200112/22/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/26/19998/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/26/19998/24/2000
ActivePrudential Insurance Company of America300784Agent - Health8/24/1999 
ActivePrudential Insurance Company of America300784Agent - Life8/24/1999 
InactiveReassure America Life Insurance Company301902Agent - Health1/18/19991/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life1/18/19991/3/2003
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20038/18/2007
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20038/18/2007
InactiveSecurity Life Insurance Company of America300936Agent - Health5/18/20063/24/2009
InactiveSecurity Life Insurance Company of America300936Agent - Life5/18/20063/24/2009
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/28/199810/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/28/199810/1/2003
ActiveStandard Insurance Company300185Agent - Health5/1/2000 
ActiveStandard Insurance Company300185Agent - Life5/1/2000 
InactiveStandard Life and Accident Insurance Company301534Agent - Health7/1/20033/23/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Life7/1/20033/23/2007
InactiveTime Insurance Company300683Agent - Health8/28/201711/22/2019
InactiveTime Insurance Company300683Agent - Life8/28/201711/22/2019
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health6/23/19987/23/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life6/23/19987/23/2003
InactiveUnion Security Insurance Company301844Agent - Health2/26/19991/9/2015
InactiveUnion Security Insurance Company301844Agent - Life2/26/19991/9/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/12/20141/22/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/12/20141/22/2015
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/12/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/12/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20012/14/2017
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization8/12/19983/1/2001
InactiveWestern National Life Insurance Company300461Agent - Life4/30/200111/30/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life12/14/19986/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health12/14/19986/23/2008
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan11/30/19993/1/2001
InactiveDental Choice Agency Inc.398085Agent - Health3/1/20011/14/2014
ActiveDesignated Agent Company Inc.681257Agent - Life6/26/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/26/2008 
InactiveMedlink Inc400721Agent - Life8/14/20003/31/2024
InactiveMedlink Inc400721Agent - Health8/14/20003/31/2024
InactivePhil Brown Insurance Agency Inc400744Agent - Life10/13/199812/31/1998
InactivePhil Brown Insurance Agency Inc400744Agent - Health10/13/199812/31/1998
ActivePlanchoice Inc.400482Agent - Life3/5/2003 
ActivePlanchoice Inc.400482Agent - Health3/5/2003 

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