DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Melrose, Adam	DOIID	1141156	NAIC NPN	7316180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2021		7/31/2025
Active	Non Resident	Agent	Life	6/22/2021		7/31/2025
* 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	AAA Life Insurance Company	300287	Agent - Health	3/9/2023	3/5/2024
Inactive	AAA Life Insurance Company	300287	Agent - Life	3/9/2023	3/5/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	3/7/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	7/9/2021	3/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/9/2021	3/7/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	2/3/2022	4/21/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/3/2022	4/21/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/9/2021	3/7/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/9/2021	3/7/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/25/2024	4/18/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/17/2022	7/7/2022
Active	Trustmark Insurance Company	300317	Agent - Health	10/9/2022
Active	Trustmark Insurance Company	300317	Agent - Life	10/9/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/14/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/14/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2021	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/23/2021	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/23/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/23/2021	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	11/16/2022
Active	Optavise, LLC	671337	Agent - Health	11/16/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	7/28/2021	9/9/2021
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/28/2021	9/9/2021