DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tailor Made Insurance Group	DOIID	1227397	NAIC NPN	20423572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/2/2022		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/19/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/23/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/19/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/23/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/23/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/28/2022	12/12/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/24/2024	7/12/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/19/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/28/2022	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/27/2022	12/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	11/23/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2024	7/12/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/6/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/24/2024	7/12/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/3/2022	3/4/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/3/2022	3/4/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Witt, Grant Lee	1179446	Agent - Health	9/2/2022