DEPARTMENT OF INSURANCE

Affiliations

Name	Quility Affinity Insurance Services LLC	DOIID	1097623	NAIC NPN	19639417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/11/2020	3/31/2026
Active	Non Resident	Agent	Health	9/11/2020	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	Accendo Insurance Company	300312	Agent - Life	6/7/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/7/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/9/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	6/9/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/19/2021
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/28/2021
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/28/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Health	8/19/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	8/19/2021
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/30/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/19/2022	11/23/2022
Active	Royal Neighbors of America	301646	Agent - Life	5/21/2021
Active	SilverScript Insurance Company	663526	Agent - Health	6/9/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/8/2022	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/8/2022	6/1/2023
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	2/17/2022	11/14/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Ellison, Michael B	663049	Agent - Health	9/11/2020
Active	Ellison, Michael B	663049	Agent - Life	9/11/2020
Active	Pope, Brian Christopher	323486	Agent - Health	9/11/2020
Active	Pope, Brian Christopher	323486	Agent - Life	9/11/2020