DEPARTMENT OF INSURANCE

Affiliations

Name	Shriram, Sujatha	DOIID	764305	NAIC NPN	11311988

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2011		6/30/2027
* 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	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

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	1/27/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/27/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/27/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/19/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/19/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/5/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/28/2011	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/19/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2011
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	1/29/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2011
Active	Humana Insurance Company	301104	Agent - Health	9/28/2011
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2011
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	10/22/2015
Active	SilverScript Insurance Company	663526	Agent - Health	1/27/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/13/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/13/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/5/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/19/2011	2/13/2025