DEPARTMENT OF INSURANCE

Affiliations

Name	Bird, Lori	DOIID	965605	NAIC NPN	17925206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/7/2023	11/30/2024
Active	Non Resident	Agent	Health	8/29/2017	11/30/2024
Active	Non Resident	Agent	Casualty	2/7/2023	11/30/2024
Active	Non Resident	Agent	Life	8/29/2017	11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/26/2023	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
Surplus Lines Broker	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	3/7/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/7/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/12/2017
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/13/2018	3/7/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/12/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	9/12/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	3/13/2018	8/11/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/21/2018	12/19/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/5/2018	12/21/2018
Active	CM Regent Insurance Company	976720	Agent - Casualty	3/7/2024
Active	CM Regent Insurance Company	976720	Agent - Property	3/7/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/29/2022	5/8/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/26/2020	12/9/2021
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	3/15/2023
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	3/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/13/2018	3/7/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/22/2021	3/7/2023
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2019	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/23/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/15/2017	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	9/15/2017	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/23/2019	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/23/2018	12/10/2018
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/18/2018	5/26/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/18/2018	5/26/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	11/15/2018	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2022	5/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/29/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/29/2022	5/8/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Life	4/21/2020	3/12/2024
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	4/21/2020	4/24/2023
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Life	4/6/2023
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Health	4/6/2023
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Casualty	4/6/2023
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Property	4/6/2023
Active	PCF Insurance Services Of The West, LLC	976137	Surplus Lines Broker - Not Applicable	4/6/2023