DEPARTMENT OF INSURANCE

Affiliations

Name	Bourne, Tyler	DOIID	801778	NAIC NPN	16872052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/7/2013	12/31/2021
Inactive	Resident	Agent	Life	2/7/2013	12/31/2021
* 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	Anthem Life Insurance Company	301209	Agent - Health	7/29/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/29/2013	11/3/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/28/2016	12/17/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/28/2016	12/17/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2016	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/17/2017	7/12/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/7/2016	10/26/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/7/2016	10/26/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/10/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/28/2013	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2013	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/11/2014	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/28/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/28/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/11/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/11/2014	11/3/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/29/2013	10/29/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/13/2013	4/27/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/13/2013	4/27/2018
Inactive	PHL Variable Insurance Company	300525	Agent - Life	6/24/2016	12/14/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/5/2019	5/11/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/5/2019	5/11/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/24/2015	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/24/2015	5/24/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/28/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/28/2013	12/1/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/7/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/7/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/28/2013	12/31/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/28/2013	12/1/2016

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	7/29/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/29/2013	11/2/2016