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.

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
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/27/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/27/2024
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