DEPARTMENT OF INSURANCE

Affiliations

Name	Balthazor, Philip W	DOIID	1003095	NAIC NPN	5306796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/1/2018	3/31/2026
Active	Non Resident	Agent	Life	8/1/2018	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	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/3/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/14/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	8/3/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	8/14/2018	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/17/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/10/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/14/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	GCU	962873	Agent - Health	2/27/2019	12/18/2019
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	9/24/2019	8/24/2020
Active	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	12/10/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	12/10/2024
Active	Humana Insurance Company	301104	Agent - Health	10/25/2021
Inactive	Independent Life Insurance Company	301831	Agent - Health	8/17/2018	12/19/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	8/17/2018	12/19/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	12/22/2022
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/23/2018
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/22/2024
Inactive	Omaha Health Insurance Company	301296	Agent - Health	11/17/2021	12/27/2024
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	9/4/2018	8/8/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/3/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/16/2018	5/8/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/17/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/9/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/9/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	12/5/2024
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	12/5/2024
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/19/2019