DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott, Russell J	DOIID	386196	NAIC NPN	518757

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/17/2020		8/31/2024
Active	Non Resident	Agent	Life	11/17/2020		8/31/2024
Inactive	Non Resident	Agent	Health Maintenance Organization	6/9/1998	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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/7/2000	8/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/7/2000	8/31/2020
Inactive	Columbus Life Insurance Company	301227	Agent - Health	4/29/2010	3/4/2013
Inactive	Columbus Life Insurance Company	301227	Agent - Life	4/29/2010	3/4/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/9/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/19/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/19/2010	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/14/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/14/2009	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/9/2015	12/13/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/20/2016	8/31/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/20/2016	8/31/2020
Inactive	General American Life Insurance Company	300280	Agent - Health	5/30/2007	2/7/2008
Inactive	General American Life Insurance Company	300280	Agent - Life	5/30/2007	2/7/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/19/2007	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/19/2007	11/16/2011
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/16/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/9/2015	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/16/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	10/16/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/16/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/16/2019	4/8/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/17/2002	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/19/2010	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/19/2010	5/1/2014
Inactive	Life Insurance Company of North America	300711	Agent - Health	8/14/2009	8/31/2020
Inactive	Life Insurance Company of North America	300711	Agent - Life	8/14/2009	8/31/2020
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/19/1993	10/29/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/19/1993	10/29/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	5/30/2007	2/7/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	5/30/2007	2/7/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/4/2004	8/31/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/4/2004	8/31/2020
Inactive	New England Life Insurance Company	300343	Agent - Health	5/30/2007	2/7/2008
Inactive	New England Life Insurance Company	300343	Agent - Life	5/30/2007	2/7/2008
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/8/2011	8/31/2020
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/8/2011	8/31/2020
Inactive	Time Insurance Company	300683	Agent - Health	5/9/2013	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	5/9/2013	11/25/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2004	11/29/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/9/2004	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/9/2004	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/1/2001	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	6/9/1998	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	Arison Insurance Services, Inc.	401001	Agent - Life	11/29/1999	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/29/1999	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	8/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	8/31/2020