DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gavin, Tyler Brandon	DOIID	1277840	NAIC NPN	20624143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/1/2023		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	Arcadian Health Plan, Inc.	728196	Agent - Health	6/19/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	6/19/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/17/2024
Active	Emphesys Insurance Company	300598	Agent - Health	5/19/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	6/19/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/19/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023