DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Teri Lynn	DOIID	1020188	NAIC NPN	16744474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/26/2018	5/31/2020
Inactive	Non Resident	Agent	Life	11/26/2018	5/31/2020
Pending Replacement	Non Resident	Agent	Casualty	11/11/2022		5/31/2024
Pending Replacement	Non Resident	Agent	Property	11/11/2022		5/31/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/6/2019	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/6/2019	5/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/6/2019	5/31/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/28/2018	4/16/2019
Pending Replacement	Bristol West Insurance Company	301655	Agent - Casualty	2/9/2024
Pending Replacement	Bristol West Insurance Company	301655	Agent - Property	2/9/2024
Pending Replacement	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/2/2023
Pending Replacement	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/2/2023
Pending Replacement	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/2/2023
Pending Replacement	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/2/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/2/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/2/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Life	11/28/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/28/2018	4/16/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/28/2018	4/16/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2018	4/16/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/20/2019	5/31/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/15/2022	10/27/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/15/2022	10/27/2023
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/15/2022	10/27/2023

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 - Casualty	10/19/2023	10/27/2023
Inactive	Assurance IQ, LLC	919554	Agent - Property	10/19/2023	10/27/2023