DEPARTMENT OF INSURANCE

Affiliations

Name	Koerper, Thomas Raymond	DOIID	823255	NAIC NPN	515458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2013		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/19/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/11/2019	7/5/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/19/2021	5/21/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/11/2019	7/5/2022
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	10/27/2014	2/13/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/31/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/31/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/31/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/24/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/22/2013	12/8/2015
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/19/2021	5/21/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/22/2013	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/22/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/22/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/22/2013	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/22/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/22/2013	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/16/2020	1/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/11/2019	7/5/2022
Inactive	Tier One Insurance Company	301056	Agent - Health	8/18/2023	11/9/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/16/2020	11/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/16/2020	1/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/4/2013	11/20/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/4/2013	11/20/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Health	8/21/2019	10/31/2019
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	8/28/2023	10/26/2023