DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Aetna Health Management, LLC	DOIID	565487	NAIC NPN	2257432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/10/2003		3/31/2027
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	11/22/2016	6/13/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hendrix, Jonathan Scott	611168	Administrator - Not Applicable	10/24/2011	3/27/2013
Inactive	Herold, Lisa J	328546	Administrator - Not Applicable	3/27/2013	2/28/2019
Inactive	Herold, Lisa J	328546	Administrator - Not Applicable	11/22/2016	2/28/2019
Inactive	Losel, Jenni	576159	Administrator - Not Applicable	5/6/2019	6/13/2019
Active	Losel, Jenni	576159	Administrator - Not Applicable	5/6/2019
Inactive	Ryan, Laurie Stone	388458	Administrator - Not Applicable	3/10/2003	10/24/2011