DEPARTMENT OF INSURANCE

Affiliations

Name	Pettit, Tonya Michelle	DOIID	1030592	NAIC NPN	6423210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/8/2019	8/31/2022
Inactive	Non Resident	Agent	Health	3/8/2019	8/31/2022
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/26/2021	10/7/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	10/7/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	10/7/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/26/2021	10/7/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/26/2021	10/7/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/18/2020	8/31/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	8/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/22/2019	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/22/2019	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/14/2020	8/31/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/22/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	5/22/2019	8/31/2022
Inactive	Humana Insurance Company	301104	Agent - Life	5/22/2019	8/31/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/22/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/22/2019	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/22/2019	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/22/2019	12/19/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/27/2019	7/7/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2020	11/9/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/10/2020	11/9/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/10/2020	11/9/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2020	11/9/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/2/2020	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/9/2020	5/24/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/9/2020	5/24/2021