DEPARTMENT OF INSURANCE

Affiliations

Name	Altieri, Anne Tavenner	DOIID	706799	NAIC NPN	8626357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	8/14/2015	8/31/2026
Active	Resident	Agent	Casualty	8/14/2015	8/31/2026
Active	Resident	Agent	Life	9/1/2009	8/31/2026
Active	Resident	Agent	Health	9/1/2009	8/31/2026
Withdrawn	Resident	Agent	Personal Lines
* 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	06/18/2024	06/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	5/6/2020	7/17/2020
Inactive	AAA Life Insurance Company	300287	Agent - Life	5/6/2020	7/17/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2017	8/21/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2017	8/21/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/17/2017	8/21/2020
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	10/28/2020	9/25/2023
Inactive	AmGUARD Insurance Company	500010	Agent - Property	10/28/2020	9/25/2023
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/1/2009
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/1/2009
Inactive	American United Life Insurance Company	300498	Agent - Health	9/11/2015	7/6/2020
Inactive	American United Life Insurance Company	300498	Agent - Life	9/11/2015	7/6/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/27/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	10/27/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	10/27/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/10/2015	11/4/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/10/2015	11/4/2022
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/20/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/15/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/15/2023
Active	Continental American Insurance Company	301700	Agent - Health	8/29/2011
Active	Continental American Insurance Company	301700	Agent - Life	8/29/2011
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/17/2017	8/21/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/3/2020	12/15/2020
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/25/2019	6/2/2022
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	8/15/2017
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	8/15/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/31/2020	12/30/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	7/31/2020	12/30/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	7/31/2020	12/30/2022
Inactive	Grange Insurance Company	300234	Agent - Property	7/31/2020	12/30/2022
Inactive	Grange Life Insurance Company	300128	Agent - Health	11/15/2018	7/23/2020
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/31/2020	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/31/2020	12/30/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/31/2020	12/30/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/19/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/19/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/10/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/3/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	7/14/2015	4/6/2021
Inactive	Humana Insurance Company	301104	Agent - Life	7/14/2015	4/6/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2019	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/3/2018	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	5/12/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	5/12/2017
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/31/2015	6/7/2017
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	5/21/2020	7/28/2020
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	5/21/2020	7/28/2020
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	10/28/2020	9/25/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	11/15/2021	7/27/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Property	11/15/2021	7/27/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/10/2021	8/26/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/10/2021	8/26/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/15/2016	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/15/2016	12/18/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/23/2021	8/26/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/23/2021	8/26/2022
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	5/12/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	12/3/2020	7/27/2023
Inactive	Trumbull Insurance Company	300242	Agent - Property	12/3/2020	7/27/2023
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	7/31/2020	12/30/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	7/31/2020	12/30/2022
Inactive	West Bend Insurance Company	672974	Agent - Casualty	7/29/2020	7/13/2023
Inactive	West Bend Insurance Company	672974	Agent - Property	7/29/2020	7/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	3/5/2015
Active	Designated Agent Company Inc.	681257	Agent - Health	3/5/2015
Inactive	Energy Ins Agency Inc	398833	Agent - Life	3/10/2015	7/13/2020
Inactive	Energy Ins Agency Inc	398833	Agent - Health	3/10/2015	7/13/2020
Inactive	Energy Ins Agency Inc	398833	Agent - Property	11/10/2015	7/13/2020
Inactive	Energy Ins Agency Inc	398833	Agent - Casualty	11/10/2015	7/13/2020
Inactive	Renee Jackson Agency LLC	888084	Agent - Life	7/23/2020	9/22/2022
Inactive	Renee Jackson Agency LLC	888084	Agent - Property	7/23/2020	9/22/2022
Inactive	Renee Jackson Agency LLC	888084	Agent - Casualty	7/23/2020	9/22/2022