DEPARTMENT OF INSURANCE

Affiliations

Name	Petty, Billy Wayne	DOIID	805869	NAIC NPN	113381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/8/2020		11/30/2025
Inactive	Non Resident	Agent	Life	3/15/2013	11/30/2015
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/16/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/16/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	5/29/2014	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	5/29/2014	12/18/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/22/2013	11/30/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/22/2013	11/30/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/10/2018	11/30/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/26/2018	11/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/27/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/30/2018	4/29/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/3/2020	12/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/16/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	10/25/2021	9/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/1/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/25/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/1/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/21/2014	7/23/2014
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/1/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/15/2021	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/15/2021

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 - Life	4/22/2013	11/30/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/22/2013	11/30/2015