DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Zachary R	DOIID	865469	NAIC NPN	17001301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/10/2015	12/31/2022
Inactive	Non Resident	Agent	Health	1/10/2015	12/31/2022
Inactive	Non Resident	Agent	Personal Lines	4/28/2021	12/31/2022
* 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	6/10/2020	12/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/6/2016	12/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/6/2020	12/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/6/2016	12/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/6/2016	12/31/2022
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	9/20/2016	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	9/20/2016	12/21/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/28/2018	12/19/2019
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	6/24/2018	11/11/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	6/24/2018	11/11/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/24/2018	11/11/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/24/2018	11/11/2020
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	5/5/2021	8/5/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/7/2017	12/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/15/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/6/2016	12/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/28/2018	12/19/2019
Inactive	Encompass Indemnity Company	546376	Agent - Personal Lines	5/21/2021	12/31/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/28/2021	8/5/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/6/2016	12/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	5/5/2021	8/5/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2018	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/28/2018	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/28/2018	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/6/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/6/2015	11/3/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	4/3/2015	2/22/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/25/2019	12/31/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Personal Lines	8/18/2021	7/28/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Personal Lines	8/18/2021	7/28/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/11/2015	3/8/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/11/2015	3/8/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	3/8/2016
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tiburon Insurance Services	654167	Agent - Health	7/29/2016	12/31/2022
Inactive	Tiburon Insurance Services	654167	Agent - Life	7/29/2016	12/31/2022