DEPARTMENT OF INSURANCE

Affiliations

Name	Holthouser, Teresa J	DOIID	309154	NAIC NPN	1498207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/31/1996		4/30/2026
Active	Resident	Agent	Life	5/31/1996		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		4/30/2026
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Inactive	Resident	Agent	Health Maintenance Organization	9/23/1998	3/1/2001
Inactive	Resident	Agent	General Lines	6/12/1998	8/15/2000
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	10/10/1995	1/16/1996
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	10/10/1995	1/16/1996
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/22/2016	1/9/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/22/2016	1/9/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/30/2003	7/20/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/30/2003	7/20/2006
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/28/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/28/2023
Active	American National General Insurance Company	301944	Agent - Casualty	8/15/2000
Inactive	American National General Insurance Company	301944	Agent - General Lines	6/12/1998	8/15/2000
Active	American National General Insurance Company	301944	Agent - Property	8/15/2000
Active	American National Insurance Company	301861	Agent - Health	5/1/1998
Active	American National Insurance Company	301861	Agent - Life	5/1/1998
Active	American National Insurance Company	301861	Agent - Variable Life and Variable Annuities	5/31/2001
Active	American National Property and Casualty Company	300392	Agent - Casualty	8/15/2000
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	6/12/1998	8/15/2000
Active	American National Property and Casualty Company	300392	Agent - Property	8/15/2000
Active	Banner Life Insurance Company	301696	Agent - Life	8/16/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/15/2021
Active	Bristol West Insurance Company	301655	Agent - Property	12/15/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/9/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/9/2008	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/13/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/13/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/13/2009
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/29/2015	5/11/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/29/2015	5/11/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/29/2015	5/11/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/29/2015	5/11/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/23/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/25/1998	12/14/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/25/1998	12/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/11/2014	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/9/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/9/2008	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/3/2001	12/15/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/3/2001	12/15/2003
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/11/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/11/2014	10/22/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/15/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/15/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/15/2023
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	5/21/1997	6/30/1998
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	5/21/1997	6/30/1998
Inactive	MEGA Life and Health Insurance Company (The)	300751	Temporary Agent - Debit (Temporary Health)	10/10/1995	1/16/1996
Inactive	MEGA Life and Health Insurance Company (The)	300751	Temporary Agent - Ordinary Life (Temporary Life)	10/10/1995	1/16/1996
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	5/31/1996	12/23/1998
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	5/31/1996	12/23/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	1/13/1999	11/21/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	1/13/1999	11/21/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/13/1999	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/13/1999	8/24/2000
Inactive	Time Insurance Company	300683	Agent - Health	4/23/1998	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	4/23/1998	12/20/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berthel Fisher & Company Insurance Inc	678071	Agent - Variable Life and Variable Annuities	7/10/2015	2/1/2017