DEPARTMENT OF INSURANCE

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		1/31/2025
Active	Non Resident	Agent	Health	6/27/2022		1/31/2025
* 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	11/15/2024	01/31/2025

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	SilverScript Insurance Company	663526	Agent - Health	7/4/2022
Active	Tier One Insurance Company	301056	Agent - Health	8/26/2023
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