DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Tizano Domincus	DOIID	1089388	NAIC NPN	8515087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/17/2020		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/10/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2021	2/12/2026
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/10/2023	12/19/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/17/2021	2/12/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/17/2021	2/12/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/12/2022	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/12/2022	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/12/2022	5/7/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/7/2025	2/5/2026
Inactive	CareSource Kentucky Co.	838179	Agent - Health	8/29/2024	12/24/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/12/2022	5/7/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/10/2023	12/19/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	11/6/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/7/2023	8/15/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/4/2023	4/19/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/1/2022	1/24/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/17/2021	2/12/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/7/2025	2/5/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/1/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/18/2020	3/9/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/7/2025	2/5/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/6/2020	5/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/6/2020	5/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/29/2020	2/8/2021