DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Holland L	DOIID	1095970	NAIC NPN	11514063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/29/2020	7/31/2024
Inactive	Non Resident	Agent	Health	8/29/2020	7/31/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/16/2021	7/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/16/2021	7/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/16/2021	7/31/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/31/2022	3/9/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/15/2021	3/4/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	4/1/2021	8/9/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/1/2021	8/9/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2022	7/27/2023
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2022	1/10/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/25/2020	2/8/2024
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	9/29/2021	8/9/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/23/2020	7/14/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/16/2021	7/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2022	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2022	7/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/22/2023	2/8/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/22/2023	5/15/2024