DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Solutions Corporation	DOIID	1005992	NAIC NPN	18810069

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/22/2018		3/31/2026
Active	Non Resident	Agent	Health	8/22/2018		3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/24/2018
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2018
Active	Humana Insurance Company	301104	Agent - Health	10/17/2018
Active	Humana Insurance Company	301104	Agent - Life	10/17/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/25/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/2/2020
Active	North River Insurance Company (The)	301739	Agent - Health	9/18/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Russell, Ty	846888	Agent - Health	8/22/2018
Active	Russell, Ty	846888	Agent - Life	8/22/2018