DEPARTMENT OF INSURANCE

Affiliations

Name	Tye, Roscoe E	DOIID	338793	NAIC NPN	3667699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		5/31/2026
Active	Resident	Agent	Health	5/21/1998		5/31/2026
Active	Resident	Agent	Life	5/21/1998		5/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	5/21/1998	3/1/2001
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/15/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	10/15/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/15/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	10/15/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	6/11/2008	10/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	6/11/2008	10/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	6/11/2008	10/20/2011
Inactive	American United Life Insurance Company	300498	Agent - Health	10/24/2019	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	10/24/2019	9/29/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/8/2002	10/26/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/8/2002	10/26/2006
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	12/13/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/18/2006	12/24/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/18/2006	12/24/2008
Active	Banner Life Insurance Company	301696	Agent - Life	9/22/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	7/22/2015
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/22/2015
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/4/2024	9/20/2024
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/4/2024	9/20/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/1/2014	12/8/2015
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/16/2009	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/16/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	12/16/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	12/16/2009	10/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/7/2022	12/12/2024
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/22/2001	7/19/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/22/2001	7/19/2004
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2014
Inactive	General American Life Insurance Company	300280	Agent - Health	6/7/2001	12/2/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	6/7/2001	12/2/2009
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	6/7/2001	12/28/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/26/2012	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/26/2012	1/7/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/13/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2014	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/1/2014	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	8/1/2014	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2014	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2014	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/12/2024
Inactive	Independent Order of Foresters	300743	Agent - Health	6/26/2006	2/18/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	6/26/2006	12/22/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/1/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/1/2014	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/3/2005	11/19/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/3/2005	11/19/2010
Denied	MetLife Investors Insurance Company	301872	Agent - Life
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/14/2005	12/2/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/14/2005	12/2/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	10/14/2005	12/28/2006
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	4/19/2004	12/23/2004
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	4/19/2004	12/23/2004
Inactive	New England Life Insurance Company	300343	Agent - Health	5/19/2000	12/2/2009
Inactive	New England Life Insurance Company	300343	Agent - Life	5/19/2000	12/2/2009
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	5/31/2001	12/28/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/4/2016	4/23/2019
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	10/13/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	10/13/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2000	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/13/2000	12/30/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	5/29/2001	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/29/2001	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Variable Life and Variable Annuities	5/31/2001	9/20/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/8/2008	8/21/2010
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	5/8/2008	8/21/2010
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Standard Insurance Company	300185	Agent - Health	12/4/2006	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	12/4/2006	12/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/14/2020	9/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/14/2020	9/15/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2000	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2000	12/30/2009
Inactive	United Heartland Life Insurance Company	517547	Agent - Health	4/5/2001	7/10/2006
Inactive	United Heartland Life Insurance Company	517547	Agent - Life	4/5/2001	7/10/2006
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	2/20/2001	7/10/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/14/2013	11/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/14/2013	11/22/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/28/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/21/1998	12/10/2004
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/14/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/28/2014	12/5/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	5/21/1998	3/1/2001
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	9/15/2017	11/25/2019
Inactive	Washington National Insurance Company	300587	Agent - Life	9/15/2017	11/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/17/2025
Active	Diversified Brokerage Specialists Inc.	399027	Agent - Life	7/17/2015
Active	Diversified Brokerage Specialists Inc.	399027	Agent - Health	7/17/2015
Active	National Benefits Brokerage, LLC	615215	Agent - Life	7/29/2010
Active	National Benefits Brokerage, LLC	615215	Agent - Health	7/29/2010