DEPARTMENT OF INSURANCE
Affiliations
NameDustin, Tara ReneeDOIID780528NAIC NPN13411651
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/30/201212/31/2024 
InactiveNon ResidentAgentLife4/30/201212/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health9/11/202212/31/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/11/202212/31/2024
InactiveAetna Life Insurance Company301140Agent - Health9/11/202212/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Health4/30/201212/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Life4/30/201212/31/2024
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life3/29/202212/31/2024
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life1/4/20229/20/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/16/20225/6/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/16/20225/6/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health8/16/20225/6/2024
InactiveAnthem Life Insurance Company301209Agent - Health7/29/202010/29/2021
InactiveAnthem Life Insurance Company301209Agent - Life7/29/202010/29/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health3/9/20235/16/2024
InactiveBanner Life Insurance Company301696Agent - Life5/11/20127/21/2020
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health9/14/20228/13/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health8/16/20225/6/2024
InactiveGlobe Life and Accident Insurance Company300639Agent - Health2/18/20141/14/2020
InactiveGlobe Life and Accident Insurance Company300639Agent - Life2/18/20141/14/2020
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/23/20218/25/2022
InactiveHumana Insurance Company301104Agent - Health10/20/20225/16/2024
InactiveHumana Medical Plan, Inc.801568Agent - Health12/7/20208/25/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/3/20177/18/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/3/20177/18/2019
InactivePruco Life Insurance Company300954Agent - Life5/4/20125/13/2020
InactiveSilverScript Insurance Company663526Agent - Health9/11/202212/31/2024
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life1/26/202212/31/2024
InactiveUnited Home Life Insurance Company300421Agent - Life1/26/20229/8/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/22/20181/23/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/22/20181/23/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/14/20228/13/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/14/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/14/20228/13/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/9/20235/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/21/20205/30/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssurance IQ, LLC919554Agent - Life3/27/20235/15/2024
InactiveAssurance IQ, LLC919554Agent - Health3/27/20235/15/2024
InactiveDesignated Agent Company Inc.681257Agent - Life7/31/20202/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health7/31/20202/10/2025
InactiveSelectQuote Insurance Services533194Agent - Life5/11/20125/28/2019
InactiveSelectQuote Insurance Services533194Agent - Health5/11/20125/28/2019

© Commonwealth of Kentucky. All rights reserved.