DEPARTMENT OF INSURANCE
Affiliations
NameMairose, Tom ADOIID815431NAIC NPN17017143
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/6/2013 8/31/2025
ActiveResidentAgentHealth8/8/2013 8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/19/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/20/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/19/2016 
ActiveAetna Life Insurance Company301140Agent - Life10/19/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health10/1/2016 
ActiveAnthem Life Insurance Company301209Agent - Life10/1/2016 
InactiveArcadian Health Plan, Inc.728196Agent - Health8/2/201812/13/2022
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/30/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/13/2019 
ActiveCompBenefits Insurance Company301864Agent - Health1/23/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
Pending ReplacementDental Care Plus Inc.301495Agent - Health1/15/2017 
InactiveDental Concern Inc. (The)301641Agent - Health6/28/202112/13/2022
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health7/24/2024 
InactiveFidelity Security Life Insurance Company300466Agent - Health4/9/202012/15/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life4/9/202012/15/2022
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/19/2016 
ActiveGolden Rule Insurance Company301943Agent - Health1/9/2017 
ActiveGolden Rule Insurance Company301943Agent - Life1/9/2017 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/2/201812/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/25/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health10/8/201812/13/2022
InactiveHumana Insurance Company301104Agent - Health8/2/201812/12/2024
InactiveHumana Insurance Company301104Agent - Life8/2/201812/12/2024
InactiveHumana Medical Plan, Inc.801568Agent - Health8/2/201812/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/2/201812/13/2022
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/20/2021 
ActiveNational Health Insurance Company300554Agent - Health10/2/2017 
InactiveRiverLink Health of Kentucky, Inc.834205Agent - Health9/16/20155/4/2017
InactiveSecurity Life Insurance Company of America300936Agent - Health12/1/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life12/1/201612/31/2016
ActiveSilverScript Insurance Company663526Agent - Health5/15/2018 
InactiveStableView Health, Inc.834204Agent - Health9/16/201511/25/2015
ActiveStandard Insurance Company300185Agent - Health12/26/2024 
ActiveStandard Insurance Company300185Agent - Life12/26/2024 
InactiveTime Insurance Company300683Agent - Health10/2/201711/23/2019
InactiveTime Insurance Company300683Agent - Life10/2/201711/23/2019
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/25/2016 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/25/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/25/2016 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/18/201912/29/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/21/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
InactiveWestern and Southern Life Insurance Company301744Agent - Health8/12/20138/21/2015
InactiveWestern and Southern Life Insurance Company301744Agent - Life8/12/20138/21/2015
InactiveWestern-Southern Life Assurance Company301590Agent - Health8/12/20138/21/2015
InactiveWestern-Southern Life Assurance Company301590Agent - Life8/12/20138/21/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveARC Benefit Solutions Inc1003380Agent - Health7/25/2019 
ActiveARC Benefit Solutions Inc1003380Agent - Life7/25/2019 
ActiveDental Choice Agency Inc.398085Agent - Health3/4/2023 
ActiveDesignated Agent Company Inc.681257Agent - Health10/3/2016 
ActiveDesignated Agent Company Inc.681257Agent - Life10/3/2016 

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