DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Person, Destiny	DOIID	1316053	NAIC NPN	20607570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/21/2023		4/30/2027
Active	Non Resident	Agent	Health	12/21/2023		4/30/2027
* 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	02/15/2027	04/30/2027

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	12/26/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/26/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	12/26/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	7/29/2024	6/29/2026
Inactive	American General Life Insurance Company	301585	Agent - Life	7/29/2024	6/29/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2024	4/15/2025
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	1/16/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2024
Active	SilverScript Insurance Company	663526	Agent - Health	12/26/2023
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	8/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Life	2/29/2024
Active	TZ Insurance Solutions LLC	727470	Agent - Health	2/29/2024