DEPARTMENT OF INSURANCE

Affiliations

Name	Alta Vista Benefits LLC	DOIID	860021	NAIC NPN	17351041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/12/2014	3/31/2026
Denied	Non Resident	Agent	Life
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/13/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/22/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/20/2015
Active	All Savers Insurance Company	301940	Agent - Health	4/23/2024
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/4/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2017	4/29/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	8/31/2020
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/17/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Elips Life Insurance Company	301087	Agent - Health	4/14/2022
Active	First Health Life & Health Insurance Company	301735	Agent - Health	2/20/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/19/2014	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/19/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/18/2017	6/15/2018
Active	Humana Insurance Company	301104	Agent - Health	11/29/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/19/2014	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/19/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/19/2014	10/22/2015
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	7/22/2023	12/22/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	2/17/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/16/2022
Active	National Health Insurance Company	300554	Agent - Health	1/26/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	Union Security Insurance Company	301844	Agent - Health	8/14/2018	2/15/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/18/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/10/2022	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/18/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/23/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/10/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/21/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/25/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Grosz, Lucille B	699108	Agent - Health	11/12/2014
Denied	Grosz, Lucille B	699108	Agent - Life