DEPARTMENT OF INSURANCE

Affiliations

Name	Theiler, Greg J	DOIID	327093	NAIC NPN	1756150

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/11/2022		7/31/2024
Active	Non Resident	Agent	Health	10/11/2022		7/31/2024
Active	Non Resident	Agent	Property	10/11/2022		7/31/2024
Active	Non Resident	Agent	Casualty	10/11/2022		7/31/2024
Inactive	Non Resident	Agent	Health Maintenance Organization	4/1/1998	3/1/2001
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/21/2018	5/12/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/21/2018	5/12/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/21/2018	5/12/2019
Inactive	All Savers Insurance Company	301940	Agent - Health	12/23/2020	8/2/2022
Inactive	All Savers Insurance Company	301940	Agent - Life	12/23/2020	8/2/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	1/5/2012	12/20/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	1/5/2012	12/20/2013
Inactive	American United Life Insurance Company	300498	Agent - Health	12/1/2011	7/31/2016
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	7/31/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	7/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/11/2017	7/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/11/2017	7/31/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/5/2012	7/31/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/3/2012	8/10/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/3/2012	8/10/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/30/2011	12/5/2014
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	7/31/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/21/2018	5/12/2019
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/6/2020	7/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/23/2021	7/31/2022
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/14/2012	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/14/2012	1/7/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/3/2012	8/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/3/2012	8/10/2012
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/8/2007	3/29/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/23/2021	7/31/2022
Active	Humana Insurance Company	301104	Agent - Health	1/18/2023
Inactive	Humana Insurance Company	301104	Agent - Life	5/30/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/23/2021	7/31/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/23/2021	7/31/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/11/2019	4/8/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/12/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/12/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/6/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/6/2013	12/5/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/9/2012	7/31/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/9/2012	7/31/2016
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/31/2013	7/31/2016
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/31/2013	7/31/2016
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/28/2012	11/23/2013
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/28/2012	11/23/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/12/2012	7/31/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/6/2012	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/6/2012	2/27/2016
Inactive	Standard Insurance Company	300185	Agent - Health	12/1/2012	7/31/2016
Inactive	Standard Insurance Company	300185	Agent - Life	12/1/2012	7/31/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/12/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	1/12/2012	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/18/2012	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/18/2012	1/29/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/3/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/3/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/23/2004	7/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/1/2001	7/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	4/1/1998	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Health	1/22/2015	12/15/2015
Inactive	Assuredpartners Nl, Llc	762387	Agent - Life	1/22/2015	12/15/2015
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	12/29/2011	7/31/2016
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	12/30/2011	7/31/2016
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	11/17/2014	4/20/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/11/2017	7/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/11/2017	7/31/2018
Inactive	Hukill Hazlett Harrington Agency, Inc.	521674	Agent - Health	8/2/2013	7/31/2016
Inactive	Hukill Hazlett Harrington Agency, Inc.	521674	Agent - Life	8/2/2013	7/31/2016