DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tap Group LLC	DOIID	1320674	NAIC NPN	21054389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	1/24/2024		3/31/2026
Active	Resident	Agent	Life	1/24/2024		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	4/16/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/8/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/8/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/8/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/8/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Klein, Timothy Albert	695719	Agent - Health	1/24/2024
Active	Klein, Timothy Albert	695719	Agent - Life	1/24/2024