DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williamson, Tristan Darwin	DOIID	1357780	NAIC NPN	8506577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/26/2024		10/31/2028
Active	Non Resident	Agent	Life	8/19/2026		10/31/2028
* 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	08/15/2026	10/31/2026	10/13/2026	10/13/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/5/2025	4/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/5/2025	4/30/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2024	1/21/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/28/2024	1/21/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/20/2025	4/23/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/5/2024	1/10/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2024	1/21/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/10/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025	2/4/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/5/2025	4/30/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/20/2025	4/23/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/20/2025	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Eoi Enrollment Services Llc	1344319	Agent - Health	10/14/2026
Pending	Eoi Enrollment Services Llc	1344319	Agent - Life