DEPARTMENT OF INSURANCE

Affiliations

Name	Evrard, Adam Matthew	DOIID	892563	NAIC NPN	17551394

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/23/2015	3/31/2026
Active	Non Resident	Agent	Casualty	9/23/2015	3/31/2026
Active	Non Resident	Agent	Health	9/23/2015	3/31/2026
Active	Non Resident	Agent	Life	9/23/2015	3/31/2026
* 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	All Savers Insurance Company	301940	Agent - Health	4/10/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/10/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/25/2015	12/11/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/25/2015	12/11/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/25/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/25/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/25/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/25/2015	11/14/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Companion Life Insurance Company	300191	Agent - Health	3/12/2018
Active	Companion Life Insurance Company	300191	Agent - Life	3/12/2018
Active	National Health Insurance Company	300554	Agent - Health	7/13/2023
Active	National Health Insurance Company	300554	Agent - Life	7/13/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	1/12/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2022
Active	North River Insurance Company (The)	301739	Agent - Health	4/1/2021
Active	Ohio Security Insurance Company	300622	Agent - Casualty	9/13/2019
Active	Ohio Security Insurance Company	300622	Agent - Property	9/13/2019
Active	United World Life Insurance Company	300532	Agent - Health	5/31/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/9/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/1/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/10/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/10/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Home Ins Agency - Tell Cty Inc	610652	Agent - Life
Denied	Home Ins Agency - Tell Cty Inc	610652	Agent - Health
Active	Home Ins Agency - Tell Cty Inc	610652	Agent - Property	4/27/2017
Active	Home Ins Agency - Tell Cty Inc	610652	Agent - Casualty	4/27/2017