DEPARTMENT OF INSURANCE

Affiliations

Name	Tolliver, Patricia J	DOIID	826020	NAIC NPN	16180431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/29/2013	3/31/2026
Active	Non Resident	Agent	Life	10/29/2013	3/31/2026
* 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	Accendo Insurance Company	300312	Agent - Health	1/31/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	1/31/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/14/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/31/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/14/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/20/2014	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/20/2014	4/15/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/26/2016	10/30/2017
Active	CareSource Kentucky Co.	838179	Agent - Health	10/26/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/4/2016	9/5/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/4/2016	9/5/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	12/30/2013	5/17/2016
Inactive	Companion Life Insurance Company	300191	Agent - Life	12/30/2013	5/17/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/31/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/1/2016	4/8/2017
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/14/2017
Active	Golden Rule Insurance Company	301943	Agent - Health	4/6/2018
Active	Golden Rule Insurance Company	301943	Agent - Life	4/6/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/1/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/1/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2016	4/8/2017
Inactive	National Health Insurance Company	300554	Agent - Health	7/7/2015	12/11/2019
Inactive	National Health Insurance Company	300554	Agent - Life	7/7/2015	12/11/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	5/23/2016	4/24/2017
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	11/15/2013	5/24/2016
Inactive	Time Insurance Company	300683	Agent - Health	10/30/2013	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/30/2013	11/23/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/27/2016	6/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/27/2016	6/1/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	10/15/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2016	6/1/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/27/2016	4/30/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/6/2019	10/15/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/20/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	11/20/2014