DEPARTMENT OF INSURANCE

Affiliations

Name	Haskins, Pamela Jean	DOIID	714491	NAIC NPN	8702793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2009	4/30/2026
Active	Non Resident	Agent	Health	9/29/2010	4/30/2026
* 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	02/15/2026	04/30/2026

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	11/3/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/3/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/3/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/2/2014	7/5/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	4/26/2018	1/13/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	4/26/2018	1/13/2022
Active	Combined Insurance Company of America	301472	Agent - Health	3/15/2013
Active	Combined Insurance Company of America	301472	Agent - Life	3/15/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/29/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/29/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	9/29/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	9/29/2010	10/1/2010
Active	Continental American Insurance Company	301700	Agent - Health	3/25/2013
Active	Continental American Insurance Company	301700	Agent - Life	3/25/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/2/2014	7/5/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	12/2/2014	7/5/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/12/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/12/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/17/2020	11/24/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/2020	8/14/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/2020	8/14/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/3/2013	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/3/2013	12/18/2020
Active	SilverScript Insurance Company	663526	Agent - Health	11/3/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/5/2020	8/14/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/21/2013	2/5/2024
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/21/2013	2/5/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/2020	8/14/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/2020	8/14/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/25/2011	5/10/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/25/2011	5/10/2013
Inactive	Unum Insurance Company	301499	Agent - Health	10/5/2020	8/14/2023
Inactive	Unum Insurance Company	301499	Agent - Life	10/5/2020	8/14/2023
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	11/19/2012
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	11/19/2012
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/9/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/9/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forum Benefits, LLC	1115625	Agent - Life	6/9/2021	8/5/2021
Inactive	Forum Benefits, LLC	1115625	Agent - Health	6/9/2021	8/5/2021