DEPARTMENT OF INSURANCE

Affiliations

Name	Tietz, Scott D	DOIID	335781	NAIC NPN	315603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/18/1998	12/31/2026
Active	Non Resident	Agent	Life	2/18/1998	12/31/2026
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/25/2020	10/8/2020
Active	American General Life Insurance Company	301585	Agent - Health	7/7/2022
Active	American General Life Insurance Company	301585	Agent - Life	7/7/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/18/2008	12/28/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/18/2008	12/28/2020
Inactive	Americom Life & Annuity Insurance Company	301843	Agent - Life	7/8/2003	4/18/2006
Active	Banner Life Insurance Company	301696	Agent - Life	4/17/2020
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/24/2004	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/24/2004	4/1/2007
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	6/18/2001	4/26/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/8/2011	12/3/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/8/2011	12/3/2012
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/28/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Health	7/21/2004	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/21/2004	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/23/2005	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/14/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/23/2004	12/14/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/23/2004	12/14/2010
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	9/2/1999	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	9/2/1999	9/8/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/5/2002	1/25/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/5/2002	1/25/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/8/2011	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/31/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/31/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/8/2011	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/8/2011	12/3/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	9/12/2008	12/24/2024
Inactive	Inter-State Assurance Company	301556	Agent - Life	11/4/1999	5/26/2002
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	7/20/2004	6/8/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/2/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/2/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/26/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/26/2008	6/8/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/8/2011	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/8/2011	12/3/2012
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/14/2014	1/19/2023
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/14/2014	1/19/2023
Active	Life Insurance Company of the Southwest	301867	Agent - Health	6/17/2019
Active	Life Insurance Company of the Southwest	301867	Agent - Life	6/17/2019
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	10/14/1999	10/2/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	10/14/1999	10/2/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/26/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/26/2009
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/28/1999	12/16/2010
Active	MassMutual Ascend Life Insurance Company	300320	Agent - Life	6/17/1998
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/26/2004	3/10/2005
Inactive	National Western Life Insurance Company	301515	Agent - Health	2/18/1998	10/25/1999
Active	National Western Life Insurance Company	301515	Agent - Life	1/20/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	11/28/2003	4/23/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/28/2003	4/23/2019
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	10/11/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	10/11/2002	3/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/31/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/31/2009
Active	Pruco Life Insurance Company	300954	Agent - Health	9/21/2011
Active	Pruco Life Insurance Company	300954	Agent - Life	9/21/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/9/2002	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/9/2002	9/20/2004
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/21/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	1/21/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2008	11/21/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2008	11/21/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/29/2011	11/21/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2011	11/21/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/21/2012	8/28/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/21/2012	8/28/2014
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/19/2001	12/8/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/5/1999	12/8/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/8/1999	6/23/2008
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/8/1999	9/15/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Partners Advantage Ins Services LLC	684936	Agent - Life	8/28/2008	5/8/2024
Inactive	Partners Advantage Ins Services LLC	684936	Agent - Health	8/28/2008	5/8/2024