DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Distler, Taylor	DOIID	820072	NAIC NPN	17057445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/26/2013	4/1/2016
Inactive	Resident	Agent	Life	9/24/2013	4/1/2016
* 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	1/13/2014	5/21/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/13/2014	5/21/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/29/2013	4/4/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/29/2013	4/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	4/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/3/2014	4/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/13/2014	5/21/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/13/2014	5/21/2015
Inactive	FSAB, LLC	576450	Agent - Health	10/29/2013	10/1/2014
Inactive	FSAB, LLC	576450	Agent - Life	10/29/2013	10/1/2014
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	4/1/2016