DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Athas, Terry	DOIID	380989	NAIC NPN	258179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/25/1991		6/30/2025
Active	Non Resident	Agent	Property	5/19/2022		6/30/2025
Active	Non Resident	Agent	Life	1/25/1991		6/30/2025
Active	Non Resident	Agent	Casualty	5/19/2022		6/30/2025
* 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	04/15/2025	06/30/2025

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	12/1/2012	3/3/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/1/2012	3/3/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/18/1992	3/28/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/18/1992	3/28/2003
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/26/2008	7/6/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/26/2008	11/29/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/26/2008	11/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	7/6/2012
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/25/1991	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/25/1991	12/18/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2001	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2001	7/6/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2001	7/6/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/30/1999	8/30/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/30/1999	8/30/2022
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	5/21/1996	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	5/21/1996	6/25/2008
Active	Trustmark Insurance Company	300317	Agent - Health	2/4/2000
Active	Trustmark Insurance Company	300317	Agent - Life	2/4/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cetera Advisor Networks LLC	400814	Agent - Life	7/9/2019
Active	Cetera Advisor Networks LLC	400814	Agent - Health	7/9/2019
Inactive	Mesirow Ins Services Inc	510824	Agent - Life	8/24/2000	3/21/2025
Inactive	Mesirow Ins Services Inc	510824	Agent - Health	8/24/2000	3/21/2025