DEPARTMENT OF INSURANCE

Affiliations

Name	Moltz, Brian Dean	DOIID	1061193	NAIC NPN	6996334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/28/2022	12/31/2024
Active	Non Resident	Agent	Health	9/28/2022	12/31/2024
* 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	10/15/2024	12/31/2024

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	10/5/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/5/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/2020	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2020	12/31/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/5/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/26/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/27/2020	12/31/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/8/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/16/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/20/2022	5/16/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2022	5/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/3/2023	5/16/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/29/2020	12/31/2020
Active	SilverScript Insurance Company	663526	Agent - Health	10/5/2022
Inactive	USAA Life Insurance Company	300734	Agent - Health	10/18/2019	9/18/2020
Inactive	USAA Life Insurance Company	300734	Agent - Life	10/18/2019	9/18/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/26/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/1/2020	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
Denied	Assurance IQ, LLC	919554	Agent - Life
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024