DEPARTMENT OF INSURANCE

Affiliations

Name	Total Insurance Brokers, Inc.	DOIID	1040302	NAIC NPN	19162388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/12/2021	6/24/2022
Active	Non Resident	Agent	Health	5/14/2019		3/31/2027
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/20/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/26/2019
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	7/8/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	12/5/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2019	3/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2021	3/31/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/4/2019	12/27/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	3/31/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/26/2019
Inactive	GCU	962873	Agent - Health	8/22/2019	12/23/2019
Active	Heartland National Life Insurance Company	948749	Agent - Health	7/8/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/31/2019
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/18/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2020
Active	Humana Insurance Company	301104	Agent - Health	10/21/2019
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/22/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/14/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/10/2021	12/17/2021
Active	Medico Insurance Company	301559	Agent - Health	11/1/2019
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	11/21/2019	7/16/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/17/2020	7/8/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/22/2019	2/22/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/22/2019	2/22/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/22/2019	2/22/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/22/2019	2/22/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	6/6/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/28/2022	6/6/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hanis, William	962097	Administrator - Not Applicable	5/12/2021	6/24/2022
Active	Hanis, William	962097	Agent - Health	10/23/2020
Inactive	Jones, Daniel L	918401	Agent - Health	5/14/2019	10/26/2020
Active	Ponce, Miguel	968100	Agent - Health	10/26/2020