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	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/21/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/21/2025
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
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	3/17/2025
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	SilverScript Insurance Company	663526	Agent - Health	3/21/2025
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