DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens, Ebony Shirelle	DOIID	1213460	NAIC NPN	20088897

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/27/2022		1/31/2027
Active	Non Resident	Agent	Health	6/27/2022		1/31/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/4/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/4/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/19/2023	6/17/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/19/2023	6/17/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/8/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	9/4/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/4/2024
Active	Humana Insurance Company	301104	Agent - Health	9/4/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/24/2024
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/4/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/4/2022
Inactive	Tier One Insurance Company	301056	Agent - Health	8/26/2023	11/5/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	8/26/2023	4/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	9/18/2023	3/14/2024
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	9/18/2023	3/14/2024