DEPARTMENT OF INSURANCE

Affiliations

Name	Affordable Care Health Insurance LLC	DOIID	637864	NAIC NPN	8882448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	8/9/2006	3/31/2026
Active	Resident	Agent	Health	8/9/2006	3/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/6/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/6/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/14/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	3/11/2021
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	3/11/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/21/2015	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/21/2015	12/14/2016
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/24/2023
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/24/2023
Active	LifeShield National Insurance Company	737111	Agent - Health	2/28/2024
Active	LifeShield National Insurance Company	737111	Agent - Life	2/28/2024
Active	Medico Insurance Company	301559	Agent - Health	4/10/2023
Active	Medico Insurance Company	301559	Agent - Life	4/10/2023
Active	Omaha Health Insurance Company	301296	Agent - Health	1/6/2021
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	10/9/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	10/9/2020
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2020
Active	Tier One Insurance Company	301056	Agent - Health	6/7/2023
Active	Tier One Insurance Company	301056	Agent - Life	6/7/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/28/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/28/2020	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/21/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/21/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/28/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/28/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/1/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bailey, Taylor W	811980	Agent - Health	7/30/2014
Inactive	Crabtree, Alice J	347470	Agent - Health	8/9/2006	9/1/2023
Inactive	Crabtree, Alice J	347470	Agent - Life	8/9/2006	9/1/2023
Active	O'Bryan, Scott A	365646	Agent - Health	3/7/2013
Active	O'Bryan, Scott A	365646	Agent - Life	3/7/2013
Active	Stone, Cody R	844952	Agent - Health	8/6/2014
Active	Stone, Cody R	844952	Agent - Life	8/6/2014