DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Trident Life Services, Inc.,	DOIID	1222511	NAIC NPN	19969306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/11/2022		3/31/2026
Active	Non Resident	Agent	Life	5/23/2024		3/31/2026
* 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	01/15/2026	03/31/2026

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	5/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/4/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/4/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/26/2023	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/26/2023	1/30/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/11/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Health	5/28/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Life	5/28/2024
Active	National Health Insurance Company	300554	Agent - Health	11/21/2023
Inactive	National Health Insurance Company	300554	Agent - Life	11/21/2023	1/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/4/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/20/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	10/20/2023	1/30/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/9/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/9/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Adams, Tyler Lee	1316582	Agent - Health	1/30/2024
Active	Adams, Tyler Lee	1316582	Agent - Life	5/23/2024
Inactive	Bosworth, Eric	1112431	Agent - Health	8/11/2022	1/30/2024
Inactive	Bosworth, Eric	1112431	Agent - Life	8/11/2022	1/30/2024