DEPARTMENT OF INSURANCE

Affiliations

Name	Tully, Aviva	DOIID	1038655	NAIC NPN	19101104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/30/2019	1/31/2025
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	10/14/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/16/2021	1/31/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/8/2019	10/14/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/16/2021	1/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/16/2021	1/31/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/5/2019	10/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	10/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	10/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/5/2019	12/17/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/15/2021	1/19/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/25/2019	1/31/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/16/2022	2/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	10/25/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/8/2019	10/14/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	1/29/2021	10/17/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/24/2021	1/19/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/23/2021	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/28/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2021	1/19/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/30/2019	1/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/16/2021	1/31/2025
Inactive	United World Life Insurance Company	300532	Agent - Health	10/27/2023	1/31/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/30/2019	1/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/16/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/16/2022	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/11/2021	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/11/2021	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carida Insurance Services Inc.	1119351	Agent - Health	4/18/2023	6/5/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/16/2019	2/11/2025
Inactive	Trubridge Inc	717747	Agent - Health	7/15/2022	12/2/2023