DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tennis, Nicholas	DOIID	1301966	NAIC NPN	20826443

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2023		12/31/2024
* 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	10/15/2024	12/31/2024

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	2/10/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/10/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/10/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/28/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/28/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/9/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/28/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/29/2023
Active	Humana Insurance Company	301104	Agent - Health	2/23/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/4/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/10/2024

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 - Health	2/13/2024	6/6/2024