DEPARTMENT OF INSURANCE

Affiliations

Name	Baskin, Courtney	DOIID	795710	NAIC NPN	16809981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/24/2012	3/31/2022
Inactive	Non Resident	Agent	Life	4/1/2015	3/31/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/5/2018	4/4/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/5/2018	4/4/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/1/2015	4/6/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/4/2014	11/2/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2019	8/6/2021
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/10/2015	4/10/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2012	6/8/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2012	6/8/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/29/2019	8/6/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/24/2019	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2012	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/19/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2012	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/10/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/17/2020	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/24/2019	12/15/2020
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/6/2015	11/21/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2015	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/25/2018	3/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/25/2018	3/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/25/2017	8/20/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/25/2017	8/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/4/2014	11/2/2016
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/2/2018	11/12/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/2/2018	11/12/2018
Inactive	Trubridge Inc	717747	Agent - Health	2/2/2016	6/12/2021
Inactive	Trubridge Inc	717747	Agent - Life	2/2/2016	6/12/2021