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	Life	5/19/2009	3/31/2027
Active	Non Resident	Agent	Casualty	9/21/2021	3/31/2027
Active	Non Resident	Agent	Health	5/19/2009	3/31/2027
Active	Non Resident	Agent	Property	9/21/2021	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	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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2020	4/15/2025
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
Inactive	Unimerica Insurance Company	563724	Agent - Health	12/21/2015	8/14/2024
Inactive	Unimerica Insurance Company	563724	Agent - Life	12/21/2015	8/14/2024
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
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/6/2015	8/14/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/14/2022	8/14/2024
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