DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bace Insurance Agency, Llc	DOIID	1207495	NAIC NPN	20268886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/26/2022	11/1/2023
Inactive	Non Resident	Agent	Life	5/26/2022	11/1/2023
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/17/2022	11/1/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/17/2022	11/1/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	11/14/2022	11/1/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/20/2022	11/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/20/2022	11/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fox, Tamie	1168524	Agent - Health	5/26/2022	8/31/2023
Inactive	Fox, Tamie	1168524	Agent - Life	5/26/2022	8/31/2023