DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Tia R	DOIID	1042505	NAIC NPN	18081855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/27/2024	12/31/2026
Active	Non Resident	Agent	Health	3/27/2024	12/31/2026
* 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	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/31/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/2/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/25/2019	12/31/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/2/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/2/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	6/25/2019	12/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	4/16/2020	12/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	3/15/2022	6/15/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/27/2019	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/27/2019	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/27/2019	12/31/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/16/2019	12/8/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/16/2019	12/8/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/25/2019	12/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/3/2019	1/21/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	8/18/2020	12/31/2020
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/6/2019	4/27/2020
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/29/2021	12/31/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/2/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/27/2024	2/23/2026
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/27/2024	2/23/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2019	1/13/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/23/2019	1/13/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2019	1/13/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2019	1/13/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/10/2020	12/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/10/2020	12/31/2020

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	8/30/2019	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	12/31/2020
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/17/2019	12/31/2020