DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Tabytha Ann	DOIID	838749	NAIC NPN	17218376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/18/2014	4/30/2021
Inactive	Non Resident	Agent	Health	4/18/2014	4/30/2021
* 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	ACE American Insurance Company	300625	Agent - Health	2/9/2017	4/30/2021
Inactive	AXIS Insurance Company	301290	Agent - Health	5/23/2016	10/10/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/28/2018	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/28/2018	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/28/2018	4/30/2021
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	5/6/2014	4/30/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	6/19/2015	4/30/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	6/19/2015	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/29/2018	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/29/2018	4/30/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/24/2019	4/30/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/24/2019	4/30/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/17/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/4/2015	5/3/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2014	3/23/2016
Inactive	Federal Insurance Company	301144	Agent - Health	2/9/2017	4/30/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/24/2014	7/18/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/24/2014	7/18/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/27/2014	5/4/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/27/2014	5/4/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/2/2015	6/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/17/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2014	3/23/2016
Inactive	Medico Insurance Company	301559	Agent - Health	1/22/2018	12/12/2018
Inactive	Medico Insurance Company	301559	Agent - Life	1/22/2018	12/12/2018
Inactive	National Health Insurance Company	300554	Agent - Health	12/7/2015	11/7/2019
Inactive	National Health Insurance Company	300554	Agent - Life	12/7/2015	11/7/2019
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	5/2/2018	4/30/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/24/2014	4/30/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	1/16/2019	4/30/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	11/15/2017	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ace Health Assoc LLC	886815	Agent - Health	8/13/2015	3/31/2021
Inactive	Ace Health Assoc LLC	886815	Agent - Life	8/13/2015	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/29/2018	4/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/29/2018	4/30/2021