DEPARTMENT OF INSURANCE

Affiliations

Name	Breedlove, Darice Dominique	DOIID	1105227	NAIC NPN	19636797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/14/2020	8/31/2024
Active	Non Resident	Agent	Health	10/14/2020	8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/4/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/24/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/4/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	2/24/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	1/4/2021	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/14/2021	5/6/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	5/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/14/2021	5/6/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/6/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/14/2021	5/6/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/4/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/11/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/3/2022	5/16/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/2/2022	5/16/2024
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/15/2021
Active	Tier One Insurance Company	301056	Agent - Life	5/4/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/2/2020	6/6/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/2/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/2/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/2/2020	6/6/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/11/2020	5/30/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2023	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	Assurance IQ, LLC	919554	Agent - Life	10/24/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024