DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Tyra	DOIID	1004405	NAIC NPN	18499806

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/10/2018	4/30/2020
Inactive	Non Resident	Agent	Health	8/10/2018	4/30/2020
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/18/2018	12/3/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/18/2018	12/3/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/21/2018	8/20/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/4/2018	12/10/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/21/2018	8/20/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/21/2018	8/20/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/21/2018	8/20/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/21/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/21/2018	12/10/2018
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/19/2018	6/14/2019

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	8/20/2018	12/3/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/20/2018	12/3/2019
Inactive	Gohealth LLC	691445	Agent - Health	11/29/2018	12/3/2019
Inactive	Gohealth LLC	691445	Agent - Life	11/29/2018	12/3/2019