DEPARTMENT OF INSURANCE

Affiliations

Name	Henry Gordon, Nerisa Tashitia Felicia	DOIID	963938	NAIC NPN	18505730

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/16/2017		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
Inactive	AXIS Insurance Company	301290	Agent - Health	7/31/2018	10/10/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	8/21/2018	2/12/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/28/2019	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/31/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/11/2019	12/8/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	7/31/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	3/16/2021
Active	Emphesys Insurance Company	300598	Agent - Health	5/22/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/23/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/14/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/4/2024
Active	Humana Insurance Company	301104	Agent - Health	7/31/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/14/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/30/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/30/2018	8/20/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2017	3/1/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/16/2017	3/1/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2017	3/1/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019	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	Health Plan Intermediaries Holdings	786463	Agent - Health	8/16/2018	3/26/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/14/2024