DEPARTMENT OF INSURANCE

Affiliations

Name	Meritain Health, Inc.	DOIID	559337	NAIC NPN	2012637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/13/2006	3/31/2026
Active	Non Resident	Agent	Health	2/13/2006	3/31/2026
Active	Non Resident	Agent	Life	2/13/2006	3/31/2026
* 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	ACE American Insurance Company	300625	Agent - Health	2/3/2014	1/12/2022
Active	American United Life Insurance Company	300498	Agent - Health	6/29/2007
Active	American United Life Insurance Company	300498	Agent - Life	6/29/2007
Inactive	Arch Insurance Company	300688	Agent - Health	7/9/2013	3/7/2019
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	6/3/2020
Inactive	Canada Life Insurance Company of America	301100	Agent - Health	3/18/2009	9/30/2009
Inactive	Canada Life Insurance Company of America	301100	Agent - Life	3/18/2009	9/30/2009
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	9/30/2009	3/7/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	9/30/2009	3/7/2011
Active	HCC Life Insurance Company	301827	Agent - Health	4/19/2007
Active	HCC Life Insurance Company	301827	Agent - Life	4/19/2007
Inactive	HM Life Insurance Company	301408	Agent - Health	11/30/2006	1/22/2010
Inactive	HM Life Insurance Company	301408	Agent - Life	11/30/2006	1/22/2010
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/3/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/3/2006
Inactive	Health Resources Inc.	301210	Agent - Health	3/21/2007	12/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/28/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	3/28/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/28/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/28/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/28/2013	5/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/10/2006	12/2/2013
Active	Pan-American Life Insurance Company	301530	Agent - Health	10/25/2012
Active	Pan-American Life Insurance Company	301530	Agent - Life	10/25/2012
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Unimerica Insurance Company	563724	Agent - Health	2/13/2008
Active	Unimerica Insurance Company	563724	Agent - Life	2/13/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/10/2006	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/10/2006	1/26/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/13/2008	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/13/2008	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/13/2008	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/13/2008	12/1/2016
Inactive	Westport Insurance Corporation	301875	Agent - Health	5/3/2017	4/20/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hammer-Glue, Cynthia Andrea	561386	Administrator - Not Applicable	12/6/2002	9/30/2004
Active	Losel, Jenni	576159	Administrator - Not Applicable	9/13/2006
Active	Losel, Jenni	576159	Agent - Health	8/22/2017
Active	Losel, Jenni	576159	Agent - Life	8/22/2017