DEPARTMENT OF INSURANCE

Affiliations

Name	Player's Health Cover Usa Inc.	DOIID	1050159	NAIC NPN	18885342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/5/2019	3/31/2027
Active	Non Resident	Agent	Health	8/5/2019	3/31/2027
Active	Non Resident	Agent	Property	8/5/2019	3/31/2027
Denied	Non Resident	Agent	Life
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/8/2020	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	All Savers Insurance Company	301940	Agent - Health	5/6/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	9/18/2023
Active	AmTrust Insurance Company	300179	Agent - Property	9/18/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/19/2024
Active	Everest Reinsurance Company	301836	Agent - Health	4/4/2025
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	3/20/2020	3/15/2022
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	3/20/2020	3/15/2022
Inactive	Great American Assurance Company	300327	Agent - Casualty	3/20/2020	3/15/2022
Inactive	Great American Assurance Company	300327	Agent - Property	3/20/2020	3/15/2022
Active	Great American Insurance Company	301586	Agent - Casualty	3/10/2020
Active	Great American Insurance Company	301586	Agent - Health	3/10/2020
Active	Great American Insurance Company	301586	Agent - Property	3/10/2020
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	3/20/2020	3/15/2022
Inactive	Great American Insurance Company of New York	301897	Agent - Property	3/20/2020	3/15/2022
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	9/18/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	9/18/2023
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/30/2022
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/19/2019	9/9/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/19/2019	9/9/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/19/2019	9/9/2021
Inactive	Next Insurance US Company	1083825	Agent - Casualty	7/13/2022	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	7/13/2022	4/29/2025
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/8/2019
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/8/2019
Active	Security National Insurance Company	301151	Agent - Casualty	9/18/2023
Active	Security National Insurance Company	301151	Agent - Property	9/18/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	9/18/2023
Active	Sequoia Insurance Company	628046	Agent - Property	9/18/2023
Active	Technology Insurance Company	613278	Agent - Casualty	9/18/2023
Active	Technology Insurance Company	613278	Agent - Property	9/18/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/6/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/6/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/6/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	9/18/2023
Active	Wesco Insurance Company	300534	Agent - Property	9/18/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burks, Tyrre Andre	1049150	Agent - Casualty	8/5/2019
Active	Burks, Tyrre Andre	1049150	Agent - Health	8/5/2019
Inactive	Burks, Tyrre Andre	1049150	Agent - Life	7/24/2022	7/24/2022
Active	Burks, Tyrre Andre	1049150	Agent - Property	8/5/2019
Active	Burks, Tyrre Andre	1049150	Surplus Lines Broker - Not Applicable	2/8/2020
Denied	Hardin, Christopher Brent	1207419	Agent - Casualty
Denied	Hardin, Christopher Brent	1207419	Agent - Health
Denied	Hardin, Christopher Brent	1207419	Agent - Property
Denied	Hill, Ted Johnsen	1207395	Agent - Health
Active	Pullen, Daniel Patrick	667579	Agent - Casualty	8/10/2023
Active	Pullen, Daniel Patrick	667579	Agent - Health	8/10/2023
Active	Pullen, Daniel Patrick	667579	Agent - Property	8/10/2023