DEPARTMENT OF INSURANCE

Affiliations

Name	Coolidge, Miriam Balseiro	DOIID	725319	NAIC NPN	9174490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/1/2013	8/31/2015
Inactive	Non Resident	Agent	Health	8/11/2020	8/31/2023
Inactive	Non Resident	Agent	Personal Lines	3/26/2010	2/16/2011
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/19/2020	7/11/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/14/2020	4/7/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/19/2020	7/11/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/19/2020	7/11/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/21/2020	4/20/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/25/2013	12/3/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/14/2020	4/7/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/25/2013	12/3/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/25/2013	12/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/25/2013	12/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/25/2013	12/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/2/2013	12/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/25/2013	12/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/2/2013	12/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/25/2013	12/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/2/2013	12/3/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/19/2020	7/11/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2020	1/23/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2020	1/23/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/20/2020	1/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/4/2014	2/19/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/20/2020	1/23/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/28/2020	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/28/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/15/2020	12/16/2020