DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Autumn	DOIID	1300000	NAIC NPN	20807857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/28/2025		9/30/2026
Active	Non Resident	Agent	Health	1/28/2025		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/31/2023	9/30/2024
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	1/31/2025
Active	Emphesys Insurance Company	300598	Agent - Health	10/29/2025
Active	Humana Insurance Company	301104	Agent - Health	11/11/2025
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/29/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Health
Active	TZ Insurance Solutions LLC	727470	Agent - Life	2/24/2025
Inactive	Trubridge Inc	717747	Agent - Health	1/22/2024	9/30/2024