DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Small Business Insurance Agency, Inc	DOIID	1366774	NAIC NPN	19289226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/10/2024		3/31/2028
Active	Non Resident	Agent	Health	10/10/2024		3/31/2028
* 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	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/13/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	10/13/2026
Active	SilverScript Insurance Company	663526	Agent - Health	10/13/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carroll, Brian K	513093	Agent - Health	10/10/2024
Active	Carroll, Brian K	513093	Agent - Life	10/10/2024