DEPARTMENT OF INSURANCE

Affiliations

Name	Quility Affinity Insurance Services LLC	DOIID	1097623	NAIC NPN	19639417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/11/2020	3/31/2026
Active	Non Resident	Agent	Life	9/11/2020	3/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/7/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/7/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/9/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/9/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/19/2021
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/28/2021
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/28/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Health	8/19/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	8/19/2021
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/30/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/19/2022	11/23/2022
Active	Royal Neighbors of America	301646	Agent - Life	5/21/2021
Active	SilverScript Insurance Company	663526	Agent - Health	6/9/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/8/2022	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/8/2022	6/1/2023
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	2/17/2022	11/14/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Ellison, Michael B	663049	Agent - Health	9/11/2020
Active	Ellison, Michael B	663049	Agent - Life	9/11/2020
Active	Pope, Brian Christopher	323486	Agent - Health	9/11/2020
Active	Pope, Brian Christopher	323486	Agent - Life	9/11/2020