DEPARTMENT OF INSURANCE
Affiliations
NameHollandstivers Employer Solutions LLCDOIID1073922NAIC NPN19422895
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentPersonal Lines   
InactiveResidentAgentLife2/11/20203/31/2026 
InactiveResidentAgentProperty12/1/20203/31/2026 
InactiveResidentAgentCasualty12/1/20203/31/2026 
InactiveResidentAgentHealth2/11/20203/31/2026 
InactiveResidentLife & Health ConsultantNot Applicable4/5/20223/31/2026 
InactiveResidentSurplus Lines BrokerNot Applicable2/23/20213/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAccendo Insurance Company300312Agent - Life10/9/20204/11/2025
InactiveAetna Health Inc. (PA)660717Agent - Health4/15/20203/31/2026
InactiveAetna Health and Life Insurance Company300523Agent - Health10/9/20204/11/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/3/202110/31/2024
InactiveAetna Life Insurance Company301140Agent - Health4/15/20203/31/2026
InactiveAetna Life Insurance Company301140Agent - Life4/15/20203/31/2026
InactiveAll Savers Insurance Company301940Agent - Health9/1/20223/31/2026
InactiveAll Savers Insurance Company301940Agent - Life9/1/20223/31/2026
InactiveAmFirst Insurance Company999525Agent - Health3/19/20206/21/2024
InactiveAmerican Continental Insurance Company643130Agent - Life10/9/20208/11/2021
InactiveAmerican Economy Insurance Company300315Agent - Casualty4/17/20213/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property4/17/20213/29/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/16/202011/11/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/16/202011/11/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/10/20223/17/2023
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/10/20223/17/2023
InactiveAmerican United Life Insurance Company300498Agent - Health2/25/202011/6/2024
InactiveAmerican United Life Insurance Company300498Agent - Life2/25/202011/6/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/17/20203/31/2026
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/20213/31/2026
InactiveAnthem Life Insurance Company301209Agent - Health3/17/20204/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/8/20204/15/2025
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/2/20225/11/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/2/20225/11/2023
InactiveBanner Life Insurance Company301696Agent - Life1/25/20213/31/2026
InactiveBristol West Insurance Company301655Agent - Casualty12/2/202012/20/2024
InactiveBristol West Insurance Company301655Agent - Property12/2/202012/20/2024
InactiveCHA HMO, Inc.300662Agent - Health12/4/20235/21/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/17/2025
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/17/202111/4/2022
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/17/202111/4/2022
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/24/20224/12/2024
InactiveClear Spring Health Insurance Company301686Agent - Health10/25/202212/19/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/28/20209/5/2023
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/28/20209/5/2023
InactiveCompBenefits Insurance Company301864Agent - Health8/4/20205/21/2024
InactiveCompanion Life Insurance Company300191Agent - Health5/28/20203/31/2026
InactiveCompanion Life Insurance Company300191Agent - Life5/28/20203/31/2026
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/20213/31/2026
InactiveContinental American Insurance Company301700Agent - Health8/13/202011/12/2024
InactiveContinental American Insurance Company301700Agent - Life8/13/202011/12/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/9/20204/11/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/20214/11/2025
InactiveDental Concern Inc. (The)301641Agent - Health3/13/20205/21/2024
InactiveEmployers Assurance Company300120Agent - Casualty11/21/20226/25/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty11/21/20226/25/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty11/21/20226/25/2024
InactiveFidelity Security Life Insurance Company300466Agent - Health3/3/20203/31/2026
InactiveFidelity Security Life Insurance Company300466Agent - Life3/3/20203/31/2026
InactiveFidelity and Guaranty Insurance Company301009Agent - Casualty2/2/20227/19/2023
InactiveFidelity and Guaranty Insurance Company301009Agent - Property2/2/20227/19/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/2/202012/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/2/202012/20/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health5/28/202012/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life5/28/202012/6/2022
InactiveHartford Life and Accident Insurance Company300878Agent - Health2/28/20203/31/2026
InactiveHartford Life and Accident Insurance Company300878Agent - Life2/28/20203/31/2026
InactiveHealthSpring National Health Insurance Company300235Agent - Health3/20/20253/31/2026
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/24/20205/21/2024
InactiveHumana Health Plan, Inc.300142Agent - Health3/13/20205/21/2024
InactiveHumana Insurance Company301104Agent - Health2/27/20205/21/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/30/20205/21/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/30/20205/21/2024
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/8/20223/31/2026
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/18/20207/24/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/18/20207/24/2024
InactiveLoyal American Life Insurance Company301172Agent - Health5/30/20233/31/2026
InactiveMetropolitan Life Insurance Company301948Agent - Health8/10/20203/31/2026
InactiveMetropolitan Life Insurance Company301948Agent - Life8/10/20203/31/2026
InactiveMilbank Insurance Company925185Agent - Casualty4/18/20226/30/2023
InactiveMilbank Insurance Company925185Agent - Property4/18/20226/30/2023
InactiveNational Health Insurance Company300554Agent - Health4/15/20223/31/2026
InactiveNational Health Insurance Company300554Agent - Life4/15/20223/31/2026
InactiveOhio Casualty Insurance Company301492Agent - Casualty4/29/20223/31/2026
InactiveOhio Casualty Insurance Company301492Agent - Property4/29/20223/31/2026
InactiveOhio Security Insurance Company300622Agent - Casualty5/9/20243/31/2026
InactiveOhio Security Insurance Company300622Agent - Property5/9/20243/31/2026
InactiveOmaha Health Insurance Company301296Agent - Health1/4/20235/15/2023
InactivePacific Life Insurance Company301848Agent - Health3/15/20223/31/2026
InactivePacific Life Insurance Company301848Agent - Life3/15/20223/31/2026
InactivePan-American Life Insurance Company301530Agent - Health4/26/20233/31/2026
InactivePan-American Life Insurance Company301530Agent - Life4/26/20233/31/2026
InactivePlaza Insurance Company300748Agent - Casualty11/12/20226/30/2023
InactivePlaza Insurance Company300748Agent - Property11/12/20226/30/2023
InactivePrincipal Life Insurance Company300129Agent - Health6/9/20203/31/2026
InactivePrincipal Life Insurance Company300129Agent - Life6/9/20203/31/2026
InactiveProgressive Casualty Insurance Company300696Agent - Casualty1/29/20218/3/2023
InactiveProgressive Casualty Insurance Company300696Agent - Property1/29/20218/3/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/30/20223/31/2026
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/30/20223/31/2026
InactiveSAFECO Insurance Company of America300159Agent - Casualty11/8/20243/31/2026
InactiveSAFECO Insurance Company of America300159Agent - Property11/8/20243/31/2026
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/17/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/17/20213/29/2024
InactiveSECURA Insurance Company301656Agent - Casualty10/28/20223/31/2026
InactiveSECURA Insurance Company301656Agent - Property10/28/20223/31/2026
InactiveSECURA Supreme Insurance Company645533Agent - Casualty10/28/20223/31/2026
InactiveSECURA Supreme Insurance Company645533Agent - Property10/28/20223/31/2026
InactiveSilverScript Insurance Company663526Agent - Health9/3/202110/31/2024
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty12/17/202111/4/2022
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property12/17/202111/4/2022
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/2/20225/11/2023
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/2/20225/11/2023
InactiveStandard Insurance Company300185Agent - Health4/19/20217/28/2023
InactiveStandard Insurance Company300185Agent - Life4/19/20217/28/2023
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/11/20216/6/2024
InactiveStarmount Life Insurance Company628031Agent - Health6/30/20223/31/2026
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty9/3/20226/30/2023
InactiveState Automobile Mutual Insurance Company301824Agent - Property9/3/20226/30/2023
InactiveState Life Insurance Company301497Agent - Health6/5/202211/18/2024
InactiveState Life Insurance Company301497Agent - Life6/5/202211/18/2024
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/17/202111/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property12/17/202111/4/2022
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty8/22/20227/19/2023
InactiveTravelers Casualty Insurance Company of America300522Agent - Property8/22/20227/19/2023
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/5/20225/11/2023
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/5/20225/11/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty8/2/20225/11/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property8/2/20225/11/2023
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/17/202111/4/2022
InactiveTravelers Indemnity Company (The)301855Agent - Property12/17/202111/4/2022
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/17/202111/4/2022
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/17/202111/4/2022
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty12/17/20217/19/2023
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property12/17/20217/19/2023
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/17/20217/19/2023
InactiveTravelers Property Casualty Company of America301649Agent - Property12/17/20217/19/2023
InactiveUNUM Life Insurance Company of America300817Agent - Health6/30/20223/31/2026
InactiveUNUM Life Insurance Company of America300817Agent - Life6/30/20223/31/2026
InactiveUnited Financial Casualty Company301886Agent - Casualty1/29/20218/3/2023
InactiveUnited Financial Casualty Company301886Agent - Property1/29/20218/3/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/28/20203/31/2026
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/28/20203/31/2026
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/1/20202/17/2025
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/1/20203/31/2026
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/17/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/20/202212/17/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life3/1/20203/23/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/1/202012/17/2024
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/20212/17/2025
InactiveUnum Insurance Company301499Agent - Health6/30/20223/31/2026
InactiveUnum Insurance Company301499Agent - Life6/30/20223/31/2026
InactiveVision Service Plan Insurance Company300526Agent - Health7/16/20207/6/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/12/202012/29/2021
InactiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/5/20213/31/2026
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/11/202012/30/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBates, Ashley D 851585Agent - Health  
DeniedBates, Ashley D 851585Agent - Life  
InactiveBohannon, Terry Lee 369036Agent - Health8/13/20203/31/2026
InactiveBohannon, Terry Lee 369036Agent - Life8/13/20203/31/2026
InactiveByars, Olivia Faith 951191Agent - Health1/6/20213/31/2026
InactiveByars, Olivia Faith 951191Agent - Life1/6/20213/31/2026
InactiveCooper, Wendy Dye 505097Agent - Health8/13/20203/31/2026
InactiveCooper, Wendy Dye 505097Agent - Life8/13/20203/31/2026
InactiveDavis, Clay Wright 954863Agent - Health8/13/20203/31/2026
InactiveDavis, Clay Wright 954863Agent - Life8/13/20204/15/2025
InactiveGholson, Conrad 1113609Agent - Casualty4/16/20213/31/2026
InactiveGholson, Conrad 1113609Agent - Property4/16/20213/31/2026
InactiveGholson, Conrad 1113609Surplus Lines Broker - Not Applicable4/16/20217/31/2022
InactiveLaird, Frank Anthony 581372Agent - Casualty1/28/20213/31/2026
InactiveLaird, Frank Anthony 581372Agent - Health8/13/20203/31/2026
InactiveLaird, Frank Anthony 581372Agent - Life8/13/20203/31/2026
InactiveLaird, Frank Anthony 581372Agent - Property1/28/20213/31/2026
InactiveMusser, Misty 1094131Agent - Health6/13/202211/18/2022
InactiveMusser, Misty 1094131Agent - Life6/13/202211/18/2022
DeniedRambo, April Dawn 1125828Agent - Health  
DeniedRambo, April Dawn 1125828Agent - Life  
InactiveRay, Kansas Dawn 623303Agent - Health1/6/20218/30/2022
InactiveRay, Kansas Dawn 623303Agent - Life1/6/20218/30/2022
InactiveReil, Veronica L 336992Agent - Health4/16/202112/22/2023
InactiveReil, Veronica L 336992Agent - Life4/16/202112/22/2023
DeniedRyan, Melissa 1095077Agent - Health  
DeniedRyan, Melissa 1095077Agent - Life  
InactiveStivers, Jody Wayne 371608Agent - Casualty12/1/20203/31/2026
InactiveStivers, Jody Wayne 371608Agent - Health2/11/20203/31/2026
InactiveStivers, Jody Wayne 371608Agent - Life2/11/20203/31/2026
DeniedStivers, Jody Wayne 371608Agent - Personal Lines  
InactiveStivers, Jody Wayne 371608Agent - Property12/1/20203/31/2026
InactiveStivers, Jody Wayne 371608Life & Health Consultant - Not Applicable4/5/20223/31/2026
InactiveStivers, Jody Wayne 371608Surplus Lines Broker - Not Applicable2/23/20213/31/2024
InactiveStone, Karen M 504591Agent - Health8/13/20203/31/2026
InactiveStone, Karen M 504591Agent - Life8/13/20203/31/2026
InactiveWard, Megan Danielle 687077Agent - Health8/13/20208/30/2022
InactiveWard, Megan Danielle 687077Agent - Life8/13/20208/30/2022

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