DEPARTMENT OF INSURANCE
Affiliations
NameHollandstivers Employer Solutions LLCDOIID1073922NAIC NPN19422895
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty12/1/2020 3/31/2026
ActiveResidentAgentLife2/11/2020 3/31/2026
ActiveResidentAgentCasualty12/1/2020 3/31/2026
ActiveResidentAgentHealth2/11/2020 3/31/2026
DeniedResidentAgentPersonal Lines   
ActiveResidentLife & Health ConsultantNot Applicable4/5/2022 3/31/2026
InactiveResidentSurplus Lines BrokerNot Applicable2/23/20213/31/2024 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Life & Health Consultant01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
InactiveAccendo Insurance Company300312Agent - Life10/9/20204/11/2025
ActiveAetna Health Inc. (PA)660717Agent - Health4/15/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health10/9/20204/11/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/3/202110/31/2024
ActiveAetna Life Insurance Company301140Agent - Health4/15/2020 
ActiveAetna Life Insurance Company301140Agent - Life4/15/2020 
ActiveAll Savers Insurance Company301940Agent - Health9/1/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/1/2022 
InactiveAmFirst Insurance Company999525Agent - Health3/19/20206/21/2024
InactiveAmerican Continental Insurance Company643130Agent - Life10/9/20208/11/2021
InactiveAmerican Economy Insurance Company300315Agent - Casualty4/17/20213/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property4/17/20213/29/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/16/202011/11/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/16/202011/11/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/10/20223/17/2023
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/10/20223/17/2023
InactiveAmerican United Life Insurance Company300498Agent - Health2/25/202011/6/2024
InactiveAmerican United Life Insurance Company300498Agent - Life2/25/202011/6/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/17/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health3/17/20204/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/8/20204/15/2025
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/2/20225/11/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/2/20225/11/2023
ActiveBanner Life Insurance Company301696Agent - Life1/25/2021 
InactiveBristol West Insurance Company301655Agent - Casualty12/2/202012/20/2024
InactiveBristol West Insurance Company301655Agent - Property12/2/202012/20/2024
InactiveCHA HMO, Inc.300662Agent - Health12/4/20235/21/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/17/2025
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/17/202111/4/2022
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/17/202111/4/2022
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/24/20224/12/2024
InactiveClear Spring Health Insurance Company301686Agent - Health10/25/202212/19/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/28/20209/5/2023
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/28/20209/5/2023
InactiveCompBenefits Insurance Company301864Agent - Health8/4/20205/21/2024
ActiveCompanion Life Insurance Company300191Agent - Health5/28/2020 
ActiveCompanion Life Insurance Company300191Agent - Life5/28/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveContinental American Insurance Company301700Agent - Health8/13/202011/12/2024
InactiveContinental American Insurance Company301700Agent - Life8/13/202011/12/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/9/20204/11/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/10/20214/11/2025
InactiveDental Concern Inc. (The)301641Agent - Health3/13/20205/21/2024
InactiveEmployers Assurance Company300120Agent - Casualty11/21/20226/25/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty11/21/20226/25/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty11/21/20226/25/2024
ActiveFidelity Security Life Insurance Company300466Agent - Health3/3/2020 
ActiveFidelity Security Life Insurance Company300466Agent - Life3/3/2020 
InactiveFidelity and Guaranty Insurance Company301009Agent - Casualty2/2/20227/19/2023
InactiveFidelity and Guaranty Insurance Company301009Agent - Property2/2/20227/19/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/2/202012/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/2/202012/20/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health5/28/202012/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life5/28/202012/6/2022
ActiveHartford Life and Accident Insurance Company300878Agent - Health2/28/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Life2/28/2020 
ActiveHealthSpring National Health Insurance Company300235Agent - Health3/20/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/24/20205/21/2024
InactiveHumana Health Plan, Inc.300142Agent - Health3/13/20205/21/2024
InactiveHumana Insurance Company301104Agent - Health2/27/20205/21/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/30/20205/21/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/30/20205/21/2024
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/8/2022 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/18/20207/24/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/18/20207/24/2024
ActiveLoyal American Life Insurance Company301172Agent - Health5/30/2023 
ActiveMetropolitan Life Insurance Company301948Agent - Health8/10/2020 
ActiveMetropolitan Life Insurance Company301948Agent - Life8/10/2020 
InactiveMilbank Insurance Company925185Agent - Casualty4/18/20226/30/2023
InactiveMilbank Insurance Company925185Agent - Property4/18/20226/30/2023
ActiveNational Health Insurance Company300554Agent - Health4/15/2022 
ActiveNational Health Insurance Company300554Agent - Life4/15/2022 
ActiveOhio Casualty Insurance Company301492Agent - Casualty4/29/2022 
ActiveOhio Casualty Insurance Company301492Agent - Property4/29/2022 
ActiveOhio Security Insurance Company300622Agent - Casualty5/9/2024 
ActiveOhio Security Insurance Company300622Agent - Property5/9/2024 
InactiveOmaha Health Insurance Company301296Agent - Health1/4/20235/15/2023
ActivePacific Life Insurance Company301848Agent - Health3/15/2022 
ActivePacific Life Insurance Company301848Agent - Life3/15/2022 
ActivePan-American Life Insurance Company301530Agent - Health4/26/2023 
ActivePan-American Life Insurance Company301530Agent - Life4/26/2023 
InactivePlaza Insurance Company300748Agent - Casualty11/12/20226/30/2023
InactivePlaza Insurance Company300748Agent - Property11/12/20226/30/2023
ActivePrincipal Life Insurance Company300129Agent - Health6/9/2020 
ActivePrincipal Life Insurance Company300129Agent - Life6/9/2020 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty1/29/20218/3/2023
InactiveProgressive Casualty Insurance Company300696Agent - Property1/29/20218/3/2023
ActiveProvident Life and Accident Insurance Company301525Agent - Health6/30/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life6/30/2022 
ActiveSAFECO Insurance Company of America300159Agent - Casualty11/8/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property11/8/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/17/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/17/20213/29/2024
ActiveSECURA Insurance Company301656Agent - Casualty10/28/2022 
ActiveSECURA Insurance Company301656Agent - Property10/28/2022 
ActiveSECURA Supreme Insurance Company645533Agent - Casualty10/28/2022 
ActiveSECURA Supreme Insurance Company645533Agent - Property10/28/2022 
InactiveSilverScript Insurance Company663526Agent - Health9/3/202110/31/2024
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty12/17/202111/4/2022
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property12/17/202111/4/2022
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/2/20225/11/2023
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/2/20225/11/2023
InactiveStandard Insurance Company300185Agent - Health4/19/20217/28/2023
InactiveStandard Insurance Company300185Agent - Life4/19/20217/28/2023
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/11/20216/6/2024
ActiveStarmount Life Insurance Company628031Agent - Health6/30/2022 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty9/3/20226/30/2023
InactiveState Automobile Mutual Insurance Company301824Agent - Property9/3/20226/30/2023
InactiveState Life Insurance Company301497Agent - Health6/5/202211/18/2024
InactiveState Life Insurance Company301497Agent - Life6/5/202211/18/2024
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/17/202111/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property12/17/202111/4/2022
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty8/22/20227/19/2023
InactiveTravelers Casualty Insurance Company of America300522Agent - Property8/22/20227/19/2023
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/5/20225/11/2023
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/5/20225/11/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty8/2/20225/11/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property8/2/20225/11/2023
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/17/202111/4/2022
InactiveTravelers Indemnity Company (The)301855Agent - Property12/17/202111/4/2022
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/17/202111/4/2022
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/17/202111/4/2022
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty12/17/20217/19/2023
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property12/17/20217/19/2023
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/17/20217/19/2023
InactiveTravelers Property Casualty Company of America301649Agent - Property12/17/20217/19/2023
ActiveUNUM Life Insurance Company of America300817Agent - Health6/30/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life6/30/2022 
InactiveUnited Financial Casualty Company301886Agent - Casualty1/29/20218/3/2023
InactiveUnited Financial Casualty Company301886Agent - Property1/29/20218/3/2023
ActiveUnited of Omaha Life Insurance Company300156Agent - Health3/28/2020 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life3/28/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/1/20202/17/2025
ActiveUnitedHealthcare Insurance Company300946Agent - Life3/1/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/17/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/20/202212/17/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life3/1/20203/23/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/1/202012/17/2024
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/20212/17/2025
ActiveUnum Insurance Company301499Agent - Health6/30/2022 
ActiveUnum Insurance Company301499Agent - Life6/30/2022 
InactiveVision Service Plan Insurance Company300526Agent - Health7/16/20207/6/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/12/202012/29/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/5/2021 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/11/202012/30/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBates, Ashley D 851585Agent - Health  
DeniedBates, Ashley D 851585Agent - Life  
ActiveBohannon, Terry Lee 369036Agent - Health8/13/2020 
ActiveBohannon, Terry Lee 369036Agent - Life8/13/2020 
ActiveByars, Olivia Faith 951191Agent - Health1/6/2021 
ActiveByars, Olivia Faith 951191Agent - Life1/6/2021 
ActiveCooper, Wendy Dye 505097Agent - Health8/13/2020 
ActiveCooper, Wendy Dye 505097Agent - Life8/13/2020 
ActiveDavis, Clay Wright 954863Agent - Health8/13/2020 
InactiveDavis, Clay Wright 954863Agent - Life8/13/20204/15/2025
ActiveGholson, Conrad 1113609Agent - Casualty4/16/2021 
ActiveGholson, Conrad 1113609Agent - Property4/16/2021 
InactiveGholson, Conrad 1113609Surplus Lines Broker - Not Applicable4/16/20217/31/2022
ActiveLaird, Frank Anthony 581372Agent - Casualty1/28/2021 
ActiveLaird, Frank Anthony 581372Agent - Health8/13/2020 
ActiveLaird, Frank Anthony 581372Agent - Life8/13/2020 
ActiveLaird, Frank Anthony 581372Agent - Property1/28/2021 
InactiveMusser, Misty 1094131Agent - Health6/13/202211/18/2022
InactiveMusser, Misty 1094131Agent - Life6/13/202211/18/2022
DeniedRambo, April Dawn 1125828Agent - Health  
DeniedRambo, April Dawn 1125828Agent - Life  
InactiveRay, Kansas Dawn 623303Agent - Health1/6/20218/30/2022
InactiveRay, Kansas Dawn 623303Agent - Life1/6/20218/30/2022
InactiveReil, Veronica L 336992Agent - Health4/16/202112/22/2023
InactiveReil, Veronica L 336992Agent - Life4/16/202112/22/2023
DeniedRyan, Melissa 1095077Agent - Health  
DeniedRyan, Melissa 1095077Agent - Life  
ActiveStivers, Jody Wayne 371608Agent - Casualty12/1/2020 
ActiveStivers, Jody Wayne 371608Agent - Health2/11/2020 
ActiveStivers, Jody Wayne 371608Agent - Life2/11/2020 
DeniedStivers, Jody Wayne 371608Agent - Personal Lines  
ActiveStivers, Jody Wayne 371608Agent - Property12/1/2020 
ActiveStivers, Jody Wayne 371608Life & Health Consultant - Not Applicable4/5/2022 
InactiveStivers, Jody Wayne 371608Surplus Lines Broker - Not Applicable2/23/20213/31/2024
ActiveStone, Karen M 504591Agent - Health8/13/2020 
ActiveStone, Karen M 504591Agent - Life8/13/2020 
InactiveWard, Megan Danielle 687077Agent - Health8/13/20208/30/2022
InactiveWard, Megan Danielle 687077Agent - Life8/13/20208/30/2022

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