DEPARTMENT OF INSURANCE

Affiliations

Name	De Berry, Andromada	DOIID	779759	NAIC NPN	16613434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/7/2016	4/30/2019
Inactive	Non Resident	Agent	Casualty	1/7/2016	4/30/2019
Pending Replacement	Non Resident	Agent	Health	9/13/2022		4/30/2025
Pending Replacement	Non Resident	Agent	Life	9/13/2022		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	10/3/2022
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/3/2022
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	10/3/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/25/2018	4/30/2019
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	4/13/2025
Pending Replacement	American General Life Insurance Company	301585	Agent - Life	4/13/2025
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2022	12/19/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/20/2018	12/10/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/29/2014	6/13/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/29/2014	6/13/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/10/2016	9/1/2016
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/23/2016	6/8/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	1/18/2016	7/1/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	1/18/2016	7/1/2016
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/29/2012	11/27/2013
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/29/2012	11/27/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/25/2018	4/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/23/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/23/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/20/2018	12/10/2018
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/29/2012	11/27/2013
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/29/2012	11/27/2013
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/29/2014	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/29/2014	11/14/2014
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/25/2016	6/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/27/2016	7/19/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/27/2016	7/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/27/2016	7/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/27/2016	7/19/2017
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	10/3/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2018	1/17/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	4/1/2018	12/21/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/17/2019
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/1/2018	1/17/2019
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/4/2016	6/22/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/4/2016	6/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	12/21/2016	7/19/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/26/2016	4/30/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	10/26/2016	4/30/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Property	1/18/2016	7/19/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Casualty	1/18/2016	7/19/2017