DEPARTMENT OF INSURANCE

Affiliations

Name	Ballard, Tristan	DOIID	963941	NAIC NPN	18508949

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	8/29/2017	10/31/2025
Active	Resident	Agent	Health	8/29/2017	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/19/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/19/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/1/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/8/2021	12/20/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/25/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/14/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/14/2019	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/8/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	12/8/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/25/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/4/2019	4/6/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2019	4/6/2021
Active	Humana Insurance Company	301104	Agent - Health	12/2/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/4/2019	4/6/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/4/2019	4/6/2021
Active	Life Insurance Company of Alabama	301439	Agent - Health	1/30/2018
Active	Life Insurance Company of Alabama	301439	Agent - Life	1/30/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/19/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/23/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/14/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	3/11/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/14/2022

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 - Health	10/16/2019	2/3/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/16/2019	2/3/2025