PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameHolm, Tristan AndrewDOIID1168313NAIC NPN11021510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty3/25/2024 11/30/2026
ActiveNon ResidentAgentLife3/25/2024 11/30/2026
ActiveNon ResidentAgentHealth3/25/2024 11/30/2026
ActiveNon ResidentAgentProperty3/25/2024 11/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAAA Life Insurance Company300287Agent - Health4/11/20246/6/2024
InactiveAAA Life Insurance Company300287Agent - Life4/11/20246/6/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/23/20245/5/2025
InactiveAnthem Insurance Companies, Inc.300941Agent - Health7/23/20245/5/2025
InactiveBristol West Insurance Company301655Agent - Casualty4/25/20246/13/2024
InactiveBristol West Insurance Company301655Agent - Property4/25/20246/13/2024
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty4/9/20246/4/2024
InactiveCSAA Fire & Casualty Insurance Company606666Agent - Property4/9/20246/4/2024
InactiveCSAA General Insurance Company606675Agent - Casualty4/9/20246/4/2024
InactiveCSAA General Insurance Company606675Agent - Property4/9/20246/4/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/6/20245/2/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health7/23/20245/5/2025
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/19/2024 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/25/20246/13/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/25/20246/13/2024
InactiveProgressive Casualty Insurance Company300696Agent - Casualty2/7/20225/23/2022
InactiveProgressive Casualty Insurance Company300696Agent - Property2/7/20225/23/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/6/20245/2/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/6/20245/2/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAca Club Insurance Agency, Inc.1033550Agent - Casualty4/9/20245/31/2024
InactiveAca Club Insurance Agency, Inc.1033550Agent - Property4/9/20245/31/2024
InactiveAca Club Insurance Agency, Inc.1033550Agent - Life4/11/20245/31/2024
InactiveAca Club Insurance Agency, Inc.1033550Agent - Health4/11/20245/31/2024
DeniedGohealth LLC691445Agent - Life  
InactiveGohealth LLC691445Agent - Health8/26/202410/24/2024

© Commonwealth of Kentucky. All rights reserved.