DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Scott	DOIID	846855	NAIC NPN	16523040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/18/2020	8/31/2022
Inactive	Non Resident	Agent	Life	7/14/2021	8/31/2022
* 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 - Life	8/2/2021	3/5/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/28/2020	7/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/2/2021	3/5/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2021	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/28/2020	7/7/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/21/2021	10/1/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	4/5/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	4/5/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/27/2021	3/18/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/27/2021	3/18/2022
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/10/2017	12/9/2019
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	4/5/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/2/2021	3/5/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/2/2021	3/5/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/4/2018	8/31/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/27/2018	5/9/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/28/2020	7/7/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/21/2021	3/11/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/1/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/21/2021	3/11/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/21/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/31/2016	8/30/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/21/2021	3/11/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/28/2021	9/1/2021
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	7/28/2021	9/1/2021