DEPARTMENT OF INSURANCE

Affiliations

Name	Dace, Myron Anthony	DOIID	918400	NAIC NPN	17862809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/4/2020	6/30/2026
Active	Non Resident	Agent	Health	6/15/2016	6/30/2026
* 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	04/15/2024	06/30/2024	06/27/2024	06/27/2024	Yes

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	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/14/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/30/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/14/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/24/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/3/2022	4/1/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/24/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	1/6/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/21/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/24/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/22/2021
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	5/9/2019	2/20/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	8/30/2016	10/23/2017
Active	SilverScript Insurance Company	663526	Agent - Health	5/14/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	7/5/2019	11/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/7/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/7/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/9/2019
Active	Ensurem II LLC	908041	Agent - Health	4/29/2020
Denied	Ensurem II LLC	908041	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/16/2017	2/24/2022