DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Jeffrey Tyler	DOIID	963918	NAIC NPN	18500556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/16/2017		8/31/2025
Active	Non Resident	Agent	Health	8/16/2017		8/31/2025
* 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	06/15/2025	08/31/2025

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	10/13/2017	8/13/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/13/2017	8/13/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/13/2017	8/13/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/23/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/23/2017	4/15/2025
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/13/2017	6/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/27/2017	4/15/2025
Active	Designated Agent Company Inc.	681257	Agent - Health	11/27/2017
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/13/2017	4/15/2025
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/13/2017	5/1/2025