DEPARTMENT OF INSURANCE
Affiliations
NamePetrillo, Tyler IsmaelDOIID1323892NAIC NPN18524695
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/13/2024 1/31/2027
ActiveNon ResidentAgentLife6/5/2025 1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202601/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health2/23/202410/30/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health2/23/202410/30/2024
InactiveAetna Life Insurance Company301140Agent - Health2/23/202410/30/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/13/202412/5/2025
InactiveAnthem Insurance Companies, Inc.300941Agent - Health2/13/202412/5/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health3/15/202410/15/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health2/14/20248/20/2025
InactiveColonial Penn Life Insurance Company300491Agent - Life7/3/202512/15/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health2/13/202412/5/2025
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/7/2024 
InactiveHumana Insurance Company301104Agent - Health5/3/202410/15/2025
InactiveHumana Medical Plan, Inc.801568Agent - Health2/7/202510/15/2025
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health11/13/20248/20/2025
InactiveSilverScript Insurance Company663526Agent - Health2/23/202410/30/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/14/20248/20/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/14/20248/20/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Activee-Telequote Insurance, Inc.687772Agent - Health4/15/2025 

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