DEPARTMENT OF INSURANCE

Affiliations

Name	Etlinger, Theodore Raymond	DOIID	1201678	NAIC NPN	19206726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/27/2022		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	5/27/2022	4/18/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/19/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/27/2022	4/18/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/19/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	5/19/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/27/2022	5/8/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/27/2022	5/8/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/27/2022	5/8/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/1/2022	4/20/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/22/2022	1/9/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/19/2023	2/2/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/27/2022	5/8/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/27/2022	4/18/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/20/2023	1/13/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/25/2022	4/20/2023
Inactive	Humana Insurance Company	301104	Agent - Health	5/10/2022	4/20/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/7/2023
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	3/12/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/19/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/22/2022	1/9/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/22/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/22/2022	1/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Purpose Insurance Agency, LLC	1213960	Agent - Health	11/6/2023	10/3/2024
Inactive	Qw Insurance Solutions, LLC	1047634	Agent - Health	4/27/2022	4/5/2023