DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Adam	DOIID	792425	NAIC NPN	16790508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/25/2025		6/30/2028
Active	Non Resident	Agent	Life	8/25/2025		6/30/2028
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/25/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/27/2021	9/27/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/25/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2020	9/27/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2020	9/27/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/25/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/23/2022	12/19/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/5/2013	8/4/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/10/2012	8/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	9/16/2013	9/22/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/10/2012	8/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	10/28/2025
Pending	TZ Insurance Solutions LLC	727470	Agent - Life