DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tippett Moorhead & Haden, An Alera Group Agency, LLC	DOIID	1089876	NAIC NPN	18728592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2020		3/31/2026
Active	Non Resident	Agent	Life	7/20/2020		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/6/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/6/2023
Active	Pacific Life Insurance Company	301848	Agent - Health	4/28/2021
Active	Pacific Life Insurance Company	301848	Agent - Life	4/28/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Haden, Benjamin Taylor	1087976	Agent - Health
Denied	Haden, Benjamin Taylor	1087976	Agent - Life
Active	Levitz, Alan J	312664	Agent - Health	7/20/2020
Active	Levitz, Alan J	312664	Agent - Life	7/20/2020
Denied	Moorhead, Michael Curtis	1239507	Agent - Health
Denied	Moorhead, Michael Curtis	1239507	Agent - Life
Denied	Tippett, Blake Huntington	1239665	Agent - Health
Denied	Tippett, Blake Huntington	1239665	Agent - Life