DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holt, Theodore Henry	DOIID	815242	NAIC NPN	8146257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/19/2023		2/28/2027
Active	Non Resident	Agent	Life	12/19/2023		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/6/2013	8/29/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/6/2013	8/29/2015
Active	United States Fire Insurance Company	582240	Agent - Health	1/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Avant Specialty Benefits, LLC	966928	Agent - Health	1/24/2024
Denied	Avant Specialty Benefits, LLC	966928	Agent - Life