DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tolbert, George Alexander	DOIID	715176	NAIC NPN	8842084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	8/11/2026		4/30/2028
Active	Non Resident	Agent	Health	1/28/2025		4/30/2028
Active	Non Resident	Agent	Life	1/28/2025		4/30/2028
* 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
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/15/2010	4/30/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/15/2010	4/30/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/11/2010	4/30/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/11/2010	4/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/11/2010	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/2010	4/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/11/2010	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/11/2010	4/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/11/2010	4/30/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/11/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/11/2010	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/11/2010	4/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/11/2010	4/30/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/1/2011	4/30/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/1/2011	4/30/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/1/2011	4/30/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/1/2011	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Bh Tpa Services LLC	1034355	Administrator - Not Applicable