DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evansville Ins Agency	DOIID	881062	NAIC NPN	17587291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/20/2015	3/31/2023
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	10/9/2017	10/26/2021
Inactive	CareSource Kentucky Co.	838179	Agent - Health	12/23/2019	4/21/2023
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	12/2/2021	12/28/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/6/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/6/2015	12/13/2016
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	3/31/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/16/2016	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2021	3/31/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2020	2/17/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hancock, Teresa Lynn	721404	Agent - Health	6/20/2015	3/31/2023