DEPARTMENT OF INSURANCE

Affiliations

Name	Doll, Ethan John	DOIID	899960	NAIC NPN	17517693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2023	11/30/2024
Active	Non Resident	Agent	Life	9/22/2023	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/30/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	11/30/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/18/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/18/2016	11/30/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/18/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/18/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/31/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	1/31/2017	12/21/2018
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	1/9/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/2/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/22/2021	1/14/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/6/2017	11/30/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	11/30/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/14/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/14/2017	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	1/21/2016	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	1/21/2016	12/21/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/12/2019	12/23/2022
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/21/2016	11/30/2022
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/9/2016	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/9/2016	12/21/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	3/15/2016	12/22/2017
Inactive	SILAC Insurance Company	300535	Agent - Health	1/7/2016	4/4/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	1/7/2016	4/4/2018
Active	SilverScript Insurance Company	663526	Agent - Health	10/18/2023
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/13/2018	11/30/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	10/30/2020	9/22/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/2/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/3/2022	2/21/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019	7/22/2021