DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Aia American Insurance Administrators, LLC	DOIID	600855	NAIC NPN	1990436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2016		3/31/2027
Active	Non Resident	Agent	Property	3/6/2023		3/31/2027
Active	Non Resident	Agent	Life	10/6/2016		3/31/2027
Active	Non Resident	Agent	Casualty	3/6/2023		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/14/2024		3/31/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/16/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/16/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	12/16/2017
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/10/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/17/2020
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/17/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/16/2017
Active	Physicians Mutual Insurance Company, Inc.	301084	Agent - Casualty	6/24/2025
Active	Physicians Mutual Insurance Company, Inc.	301084	Agent - Property	6/24/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/6/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	6/6/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/6/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/6/2017
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breon, Toby G	1240219	Agent - Casualty	9/21/2023	8/20/2024
Inactive	Breon, Toby G	1240219	Agent - Health	9/21/2023	8/20/2024
Inactive	Breon, Toby G	1240219	Agent - Life	10/10/2023	8/20/2024
Inactive	Breon, Toby G	1240219	Agent - Property	9/21/2023	8/20/2024
Active	Dardick, David Scott	1263663	Agent - Health	4/13/2023
Active	Dardick, David Scott	1263663	Agent - Life	4/13/2023
Inactive	Dorsheimer, Dan G	599584	Agent - Health	10/6/2016	4/30/2019
Inactive	Dorsheimer, Dan G	599584	Agent - Life	10/6/2016	4/30/2019
Active	Krause, Kevin L	984277	Agent - Health	8/31/2018
Active	Krause, Kevin L	984277	Agent - Life	8/31/2018
Active	Levitz, Alan J	312664	Agent - Health	10/30/2018
Active	Levitz, Alan J	312664	Agent - Life	10/30/2018
Denied	Straw, William Thomas	1197926	Agent - Health
Denied	Straw, William Thomas	1197926	Agent - Life
Active	Wert, Christopher Frantz	1256542	Agent - Casualty	3/6/2023
Active	Wert, Christopher Frantz	1256542	Agent - Property	3/6/2023
Active	Wert, Christopher Frantz	1256542	Surplus Lines Broker - Not Applicable	6/14/2024