DEPARTMENT OF INSURANCE

Affiliations

Name	Threets, Tytorrial A	DOIID	841616	NAIC NPN	17278074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/7/2018	4/30/2020
Inactive	Resident	Agent	Life	6/7/2018	4/30/2020
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/12/2015	7/17/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/12/2015	7/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/1/2015	5/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/1/2015	5/1/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/6/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/6/2014	12/8/2015
Inactive	Everly Life Insurance Company	561641	Agent - Life	2/3/2017	5/1/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/23/2016	5/1/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/23/2016	5/1/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/6/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/6/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/6/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/6/2014	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/6/2014	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/6/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/6/2014	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/6/2014	12/8/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/18/2018	4/30/2020
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/18/2018	4/30/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2014	10/22/2015
Inactive	Modern Woodmen of America	301213	Agent - Life	6/8/2018	2/6/2019
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/5/2016	5/1/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2016	5/1/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/9/2016	5/1/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/9/2016	5/1/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/9/2016	5/1/2018

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	11/18/2015	5/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2014	5/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2014	5/1/2018
Inactive	MWAGIA, Inc	549166	Agent - Life	1/12/2015	5/1/2018
Inactive	MWAGIA, Inc	549166	Agent - Health	1/12/2015	5/1/2018
Inactive	Medlink Inc	400721	Agent - Life	12/9/2014	5/1/2018
Inactive	Medlink Inc	400721	Agent - Health	12/10/2014	5/1/2018