DEPARTMENT OF INSURANCE
Affiliations
NameOrange, Bethsaida MathelideDOIID986128NAIC NPN18690494
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/28/20184/30/2022 
InactiveNon ResidentAgentHealth9/28/20224/30/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXIS Insurance Company301290Agent - Health7/7/20204/30/2022
InactiveAetna Health Inc. (PA)660717Agent - Health2/7/202310/31/2023
InactiveAetna Health and Life Insurance Company300523Agent - Health9/20/20184/30/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health8/6/20204/30/2022
InactiveAetna Life Insurance Company301140Agent - Health10/10/20184/30/2022
InactiveAetna Life Insurance Company301140Agent - Life10/10/20184/30/2022
InactiveAmerican Continental Insurance Company643130Agent - Life9/20/20188/11/2021
InactiveAmerican General Life Insurance Company301585Agent - Health12/11/201812/2/2019
InactiveAmerican General Life Insurance Company301585Agent - Life12/11/201812/2/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/5/20214/30/2022
InactiveAnthem Life Insurance Company301209Agent - Health6/5/20214/30/2022
InactiveAnthem Life Insurance Company301209Agent - Life6/5/20214/30/2022
InactiveAspen American Insurance Company301513Agent - Health4/9/202012/14/2020
InactiveCareSource Kentucky Co.838179Agent - Health10/11/202211/30/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/20/20184/30/2022
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/10/20184/30/2022
InactiveGolden Rule Insurance Company301943Agent - Health4/20/20205/3/2022
InactiveGolden Rule Insurance Company301943Agent - Life4/20/20205/3/2022
InactiveLifeShield National Insurance Company737111Agent - Health6/18/201912/21/2021
InactiveLumico Life Insurance Company300354Agent - Life3/18/20194/30/2022
InactiveNational Guardian Life Insurance Company300596Agent - Health3/16/201810/29/2019
InactiveSilverScript Insurance Company663526Agent - Health2/7/202310/31/2023
InactiveStandard Life and Accident Insurance Company301534Agent - Health1/22/20194/30/2022
InactiveUnited States Fire Insurance Company582240Agent - Health2/27/20232/28/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedHealth Plan Intermediaries Holdings786463Agent - Life  
InactiveHealth Plan Intermediaries Holdings786463Agent - Health4/23/20184/30/2022

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