DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Toshiba	DOIID	834305	NAIC NPN	17130138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/22/2017	6/30/2019
Inactive	Non Resident	Agent	Life	2/21/2014	6/30/2015
Pending Replacement	Non Resident	Staff Adjuster	Property & Casualty	7/5/2022		6/30/2025
* 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
Staff Adjuster	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	3/11/2014	6/30/2015
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	3/11/2014	6/30/2015
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017	8/23/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/10/2014	6/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/10/2014	6/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/10/2014	6/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/10/2014	6/30/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/25/2017	8/23/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/25/2017	8/23/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2017	8/23/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/10/2014	6/30/2015
Inactive	Time Insurance Company	300683	Agent - Health	3/14/2014	10/21/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/14/2014	10/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	11/21/2017	8/23/2018