DEPARTMENT OF INSURANCE
Affiliations
NameDues, Travis DOIID938555NAIC NPN16162381
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/1/201612/31/2020 
InactiveNon ResidentAgentLife12/1/201612/31/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/3/20172/23/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/3/20174/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/3/20174/10/2018
InactiveKanawha Insurance Company300127Agent - Health1/6/201712/8/2017
InactiveKanawha Insurance Company300127Agent - Life1/6/201712/8/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePaychex Insurance Agency Inc509469Agent - Life1/3/201710/2/2017
InactivePaychex Insurance Agency Inc509469Agent - Health1/3/201710/2/2017

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