DEPARTMENT OF INSURANCE

Affiliations

Name	Theisen, Christopher Morgan	DOIID	888258	NAIC NPN	9082695

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/24/2015	8/31/2023
Inactive	Non Resident	Agent	Life	8/24/2015	8/31/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/26/2020	8/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2020	8/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/26/2020	8/31/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	10/20/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	11/3/2015	8/31/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	11/3/2015	8/31/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/13/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2016	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/13/2016	4/8/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/8/2017
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	10/4/2016	11/14/2018
Inactive	New York Life Insurance Company	300431	Agent - Health	10/16/2015	12/7/2015
Inactive	New York Life Insurance Company	300431	Agent - Life	10/16/2015	12/7/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/21/2019	8/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/10/2021	10/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/10/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/10/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/10/2021	10/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Life	9/18/2018	8/31/2023
Inactive	AmWINS Group Benefits, LLC	521331	Agent - Health	9/18/2018	8/31/2023