DEPARTMENT OF INSURANCE

Affiliations

Name	Verrett, Tony	DOIID	1010156	NAIC NPN	18912735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/17/2018	6/30/2020
Pending Replacement	Non Resident	Agent	Health	9/22/2020		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	3/10/2020	6/30/2020
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	12/15/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/19/2021	11/23/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/15/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	12/15/2020
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	4/4/2023
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/2/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	5/6/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/15/2019	6/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/15/2019	6/30/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/24/2024	6/26/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/24/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	5/6/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/19/2021	11/23/2023
Inactive	Federal Insurance Company	301144	Agent - Health	12/6/2018	6/30/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/20/2018	7/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/20/2018	7/1/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/4/2023	5/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/2/2022	5/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/13/2023	5/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2022	5/16/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/28/2020	6/30/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/24/2022	2/3/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/23/2020	6/30/2020
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	12/15/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	3/2/2020	6/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/6/2020	6/24/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/6/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/6/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/6/2020	6/24/2024
Pending Replacement	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2020	12/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	11/3/2022	5/15/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/20/2019	6/30/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/20/2019	6/30/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/7/2018	6/30/2020