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DEPARTMENT OF INSURANCE
Affiliations
Name
Dustin, Tara Renee
DOIID
780528
NAIC NPN
13411651
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
4/30/2012
12/31/2024
Active
Non Resident
Agent
Health
4/30/2012
12/31/2024
* 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
10/15/2024
12/31/2024
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health Inc. (PA)
660717
Agent - Health
9/11/2022
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
9/11/2022
Active
Aetna Life Insurance Company
301140
Agent - Health
9/11/2022
Active
American General Life Insurance Company
301585
Agent - Health
4/30/2012
Active
American General Life Insurance Company
301585
Agent - Life
4/30/2012
Active
American-Amicable Life Insurance Co. of Texas
300257
Agent - Life
3/29/2022
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
1/4/2022
9/20/2022
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
8/16/2022
5/6/2024
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
8/16/2022
5/6/2024
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
8/16/2022
5/6/2024
Inactive
Anthem Life Insurance Company
301209
Agent - Health
7/29/2020
10/29/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Life
7/29/2020
10/29/2021
Inactive
Arcadian Health Plan, Inc.
728196
Agent - Health
3/9/2023
5/16/2024
Inactive
Banner Life Insurance Company
301696
Agent - Life
5/11/2012
7/21/2020
Active
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
9/14/2022
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
8/16/2022
5/6/2024
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Health
2/18/2014
1/14/2020
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Life
2/18/2014
1/14/2020
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
4/23/2021
8/25/2022
Inactive
Humana Insurance Company
301104
Agent - Health
10/20/2022
5/16/2024
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
12/7/2020
8/25/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
1/3/2017
7/18/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/3/2017
7/18/2019
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/4/2012
5/13/2020
Active
SilverScript Insurance Company
663526
Agent - Health
9/11/2022
Active
The Savings Bank Mutual Life Insurance Company of Massachusetts
690290
Agent - Life
1/26/2022
Inactive
United Home Life Insurance Company
300421
Agent - Life
1/26/2022
9/8/2022
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/22/2018
1/23/2023
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/22/2018
1/23/2023
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
9/14/2022
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
9/14/2022
12/22/2022
Active
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/14/2022
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
12/9/2023
5/29/2024
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
9/21/2020
5/30/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Assurance IQ, LLC
919554
Agent - Life
3/27/2023
5/15/2024
Inactive
Assurance IQ, LLC
919554
Agent - Health
3/27/2023
5/15/2024
Active
Designated Agent Company Inc.
681257
Agent - Life
7/31/2020
Active
Designated Agent Company Inc.
681257
Agent - Health
7/31/2020
Inactive
SelectQuote Insurance Services
533194
Agent - Life
5/11/2012
5/28/2019
Inactive
SelectQuote Insurance Services
533194
Agent - Health
5/11/2012
5/28/2019
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