DEPARTMENT OF INSURANCE

Affiliations

Name	Academic Healthplans, Inc.	DOIID	703398	NAIC NPN	13224840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Denied	Non Resident	Administrator	Not Applicable
Active	Non Resident	Agent	Casualty	9/21/2021	3/31/2025
Active	Non Resident	Agent	Life	5/19/2009	3/31/2025
Active	Non Resident	Agent	Property	9/21/2021	3/31/2025
Active	Non Resident	Agent	Health	5/19/2009	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	4 Ever Life Insurance Company	301307	Agent - Health	7/17/2018
Inactive	4 Ever Life Insurance Company	301307	Agent - Life	7/17/2018	12/10/2018
Active	ACE American Insurance Company	300625	Agent - Health	10/28/2011
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	9/14/2012	6/10/2020
Active	AXIS Insurance Company	301290	Agent - Health	7/23/2010
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	7/24/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	7/24/2020
Active	Berkley Life and Health Insurance Company	301421	Agent - Health	6/3/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/25/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/11/2015	8/14/2015
Active	Companion Life Insurance Company	300191	Agent - Health	2/23/2023
Active	Companion Life Insurance Company	300191	Agent - Life	2/23/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/11/2015	8/14/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/11/2015	8/14/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/11/2015	8/14/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/11/2015	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Health	5/11/2015	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2016	11/22/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2016	11/22/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/11/2015	8/14/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/16/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/16/2014	12/5/2014
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	6/16/2023
Active	StarNet Insurance Company	502746	Agent - Health	6/3/2020
Inactive	Time Insurance Company	300683	Agent - Health	1/24/2012	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/24/2012	11/15/2019
Active	Unimerica Insurance Company	563724	Agent - Health	12/21/2015
Active	Unimerica Insurance Company	563724	Agent - Life	12/21/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/6/2015	12/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/6/2015	12/2/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/6/2015
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/14/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	6/21/2017
Active	Wellfleet Insurance Company	300542	Agent - Health	7/19/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Lyons, Terry Lynn	355691	Agent - Casualty	9/21/2021
Active	Lyons, Terry Lynn	355691	Agent - Health	5/19/2009
Active	Lyons, Terry Lynn	355691	Agent - Life	5/19/2009
Active	Lyons, Terry Lynn	355691	Agent - Property	9/21/2021