DEPARTMENT OF INSURANCE
Affiliations
NameTyler, Austin DOIID1187780NAIC NPN20234188
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth3/9/2022 9/30/2026
ActiveResidentAgentLife3/9/2022 9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202609/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health2/16/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/16/2024 
ActiveAetna Life Insurance Company301140Agent - Health2/16/2024 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/6/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/6/202212/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/6/2022 
InactiveAnthem Life Insurance Company301209Agent - Health9/19/20224/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life9/19/20224/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2022 
ActiveCHA HMO, Inc.300662Agent - Health9/26/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCareSource Kentucky Co.838179Agent - Health3/24/202512/23/2025
ActiveCompBenefits Insurance Company301864Agent - Health4/19/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health6/6/2022 
ActiveDental Concern Inc. (The)301641Agent - Health10/26/2022 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/11/2024 
ActiveEmphesys Insurance Company300598Agent - Health10/15/2025 
InactiveGerber Life Insurance Company300529Agent - Health5/8/20236/30/2023
InactiveGerber Life Insurance Company300529Agent - Life5/8/20236/30/2023
ActiveGolden Rule Insurance Company301943Agent - Health7/1/2025 
ActiveGolden Rule Insurance Company301943Agent - Life7/1/2025 
ActiveGuarantee Trust Life Insurance Company301043Agent - Health10/10/2024 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life10/10/2024 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/22/2025 
ActiveHumana Health Plan, Inc.300142Agent - Health11/3/2023 
ActiveHumana Insurance Company301104Agent - Health10/19/2022 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/24/2025 
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health2/21/20232/5/2026
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health4/7/20226/8/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health3/10/20226/8/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life3/10/20226/8/2022
ActiveSilverScript Insurance Company663526Agent - Health2/16/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/14/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/14/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/14/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/11/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/28/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health6/19/2026 

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