DEPARTMENT OF INSURANCE
Affiliations
NameHollandstivers Employer Solutions LLCDOIID1073922NAIC NPN19422895
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty12/1/2020 3/31/2026
ActiveResidentAgentLife2/11/2020 3/31/2026
ActiveResidentAgentCasualty12/1/2020 3/31/2026
ActiveResidentAgentHealth2/11/2020 3/31/2026
DeniedResidentAgentPersonal Lines   
ActiveResidentLife & Health ConsultantNot Applicable4/5/2022 3/31/2026
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
ActiveAccendo Insurance Company300312Agent - Life10/9/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health4/15/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/9/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/3/2021 
ActiveAetna Life Insurance Company301140Agent - Health4/15/2020 
ActiveAetna Life Insurance Company301140Agent - Life4/15/2020 
ActiveAll Savers Insurance Company301940Agent - Health9/1/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/1/2022 
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
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/16/2020 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/16/2020 
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/10/20223/17/2023
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/10/20223/17/2023
ActiveAmerican United Life Insurance Company300498Agent - Health2/25/2020 
ActiveAmerican United Life Insurance Company300498Agent - Life2/25/2020 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/17/2020 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health3/17/2020 
ActiveAnthem Life Insurance Company301209Agent - Life5/8/2020 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/2/20225/11/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/2/20225/11/2023
ActiveBanner Life Insurance Company301696Agent - Life1/25/2021 
ActiveBristol West Insurance Company301655Agent - Casualty12/2/2020 
ActiveBristol West Insurance Company301655Agent - Property12/2/2020 
InactiveCHA HMO, Inc.300662Agent - Health12/4/20235/21/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/17/202111/4/2022
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/17/202111/4/2022
ActiveCigna National Health Insurance Company300235Agent - Health5/17/2023 
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/24/20224/12/2024
ActiveClear Spring Health Insurance Company301686Agent - Health10/25/2022 
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
ActiveCompanion Life Insurance Company300191Agent - Health5/28/2020 
ActiveCompanion Life Insurance Company300191Agent - Life5/28/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental American Insurance Company301700Agent - Health8/13/2020 
ActiveContinental American Insurance Company301700Agent - Life8/13/2020 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/9/2020 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/2021 
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
ActiveFidelity Security Life Insurance Company300466Agent - Health3/3/2020 
ActiveFidelity Security Life Insurance Company300466Agent - Life3/3/2020 
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
ActiveHartford Life and Accident Insurance Company300878Agent - Health2/28/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Life2/28/2020 
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
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/8/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/18/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/18/2020 
ActiveLoyal American Life Insurance Company301172Agent - Health5/30/2023 
ActiveMetropolitan Life Insurance Company301948Agent - Health8/10/2020 
ActiveMetropolitan Life Insurance Company301948Agent - Life8/10/2020 
InactiveMilbank Insurance Company925185Agent - Casualty4/18/20226/30/2023
InactiveMilbank Insurance Company925185Agent - Property4/18/20226/30/2023
ActiveNational Health Insurance Company300554Agent - Health4/15/2022 
ActiveNational Health Insurance Company300554Agent - Life4/15/2022 
ActiveOhio Casualty Insurance Company301492Agent - Casualty4/29/2022 
ActiveOhio Casualty Insurance Company301492Agent - Property4/29/2022 
ActiveOhio Security Insurance Company300622Agent - Casualty5/9/2024 
ActiveOhio Security Insurance Company300622Agent - Property5/9/2024 
InactiveOmaha Health Insurance Company301296Agent - Health1/4/20235/15/2023
ActivePacific Life Insurance Company301848Agent - Health3/15/2022 
ActivePacific Life Insurance Company301848Agent - Life3/15/2022 
ActivePan-American Life Insurance Company301530Agent - Health4/26/2023 
ActivePan-American Life Insurance Company301530Agent - Life4/26/2023 
InactivePlaza Insurance Company300748Agent - Casualty11/12/20226/30/2023
InactivePlaza Insurance Company300748Agent - Property11/12/20226/30/2023
ActivePrincipal Life Insurance Company300129Agent - Health6/9/2020 
ActivePrincipal Life Insurance Company300129Agent - Life6/9/2020 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty1/29/20218/3/2023
InactiveProgressive Casualty Insurance Company300696Agent - Property1/29/20218/3/2023
ActiveProvident Life and Accident Insurance Company301525Agent - Health6/30/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life6/30/2022 
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/17/20213/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/17/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/17/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/17/20213/29/2024
ActiveSECURA Insurance Company301656Agent - Casualty10/28/2022 
ActiveSECURA Insurance Company301656Agent - Property10/28/2022 
ActiveSECURA Supreme Insurance Company645533Agent - Casualty10/28/2022 
ActiveSECURA Supreme Insurance Company645533Agent - Property10/28/2022 
ActiveSilverScript Insurance Company663526Agent - Health9/3/2021 
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
ActiveStarmount Life Insurance Company628031Agent - Health6/30/2022 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty9/3/20226/30/2023
InactiveState Automobile Mutual Insurance Company301824Agent - Property9/3/20226/30/2023
ActiveState Life Insurance Company301497Agent - Health6/5/2022 
ActiveState Life Insurance Company301497Agent - Life6/5/2022 
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
ActiveUNUM Life Insurance Company of America300817Agent - Health6/30/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life6/30/2022 
InactiveUnited Financial Casualty Company301886Agent - Casualty1/29/20218/3/2023
InactiveUnited Financial Casualty Company301886Agent - Property1/29/20218/3/2023
ActiveUnited of Omaha Life Insurance Company300156Agent - Health3/28/2020 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life3/28/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/1/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Life3/1/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/17/202112/22/2022
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/20/2022 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life3/1/20203/23/2020
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/1/2020 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/2021 
ActiveUnum Insurance Company301499Agent - Health6/30/2022 
ActiveUnum Insurance Company301499Agent - Life6/30/2022 
InactiveVision Service Plan Insurance Company300526Agent - Health7/16/20207/6/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/12/202012/29/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/5/2021 
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  
ActiveBohannon, Terry Lee 369036Agent - Health8/13/2020 
ActiveBohannon, Terry Lee 369036Agent - Life8/13/2020 
ActiveByars, Olivia Faith 951191Agent - Health1/6/2021 
ActiveByars, Olivia Faith 951191Agent - Life1/6/2021 
ActiveCooper, Wendy Dye 505097Agent - Health8/13/2020 
ActiveCooper, Wendy Dye 505097Agent - Life8/13/2020 
ActiveDavis, Clay Wright 954863Agent - Health8/13/2020 
ActiveDavis, Clay Wright 954863Agent - Life8/13/2020 
ActiveGholson, Conrad 1113609Agent - Casualty4/16/2021 
ActiveGholson, Conrad 1113609Agent - Property4/16/2021 
InactiveGholson, Conrad 1113609Surplus Lines Broker - Not Applicable4/16/20217/31/2022
ActiveLaird, Frank Anthony 581372Agent - Casualty1/28/2021 
ActiveLaird, Frank Anthony 581372Agent - Health8/13/2020 
ActiveLaird, Frank Anthony 581372Agent - Life8/13/2020 
ActiveLaird, Frank Anthony 581372Agent - Property1/28/2021 
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  
ActiveStivers, Jody Wayne 371608Agent - Casualty12/1/2020 
ActiveStivers, Jody Wayne 371608Agent - Health2/11/2020 
ActiveStivers, Jody Wayne 371608Agent - Life2/11/2020 
DeniedStivers, Jody Wayne 371608Agent - Personal Lines  
ActiveStivers, Jody Wayne 371608Agent - Property12/1/2020 
ActiveStivers, Jody Wayne 371608Life & Health Consultant - Not Applicable4/5/2022 
InactiveStivers, Jody Wayne 371608Surplus Lines Broker - Not Applicable2/23/20213/31/2024
ActiveStone, Karen M 504591Agent - Health8/13/2020 
ActiveStone, Karen M 504591Agent - Life8/13/2020 
InactiveWard, Megan Danielle 687077Agent - Health8/13/20208/30/2022
InactiveWard, Megan Danielle 687077Agent - Life8/13/20208/30/2022

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