DEPARTMENT OF INSURANCE

Affiliations

Name	Mortenson, Stephanie Ann	DOIID	772400	NAIC NPN	10644954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/14/2020		2/28/2026
* 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	12/15/2025	02/28/2026

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	5/21/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/12/2021
Inactive	American Continental Insurance Company	643130	Agent - Health	7/29/2013	8/19/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/27/2014	4/13/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/29/2013	8/19/2014
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/13/2014	2/29/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/27/2014	4/13/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/10/2012	2/29/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/7/2012	6/24/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/27/2014	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2014	4/13/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/27/2014	4/13/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/7/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	9/18/2012	10/22/2013
Active	SilverScript Insurance Company	663526	Agent - Health	4/12/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/7/2012	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/25/2012	10/14/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/25/2012	10/14/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	2/29/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/29/2020
Inactive	Retiremed IQ, LLC	682484	Agent - Health	1/25/2012	10/21/2014