DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Travis DeshaDOIID1192127NAIC NPN20256715
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty3/28/2022 12/31/2025
ActiveResidentAgentLife8/1/2022 12/31/2025
ActiveResidentAgentHealth8/4/2022 12/31/2025
ActiveResidentAgentProperty3/28/2022 12/31/2025
* 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
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE Property and Casualty Insurance Company300520Agent - Health9/20/20224/5/2025
InactiveAccendo Insurance Company300312Agent - Health9/15/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life9/15/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health8/31/2022 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/15/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/31/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/31/2022 
ActiveAmerican Economy Insurance Company300315Agent - Casualty6/30/2025 
ActiveAmerican Economy Insurance Company300315Agent - Property6/30/2025 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/4/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/4/202212/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health8/4/2022 
InactiveAnthem Life Insurance Company301209Agent - Health3/29/20234/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life3/29/20234/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health9/13/2022 
ActiveAuto-Owners Insurance Company301480Agent - Casualty7/29/2022 
ActiveAuto-Owners Insurance Company301480Agent - Property7/29/2022 
InactiveBristol West Insurance Company301655Agent - Casualty5/13/202212/20/2024
InactiveBristol West Insurance Company301655Agent - Property5/13/202212/20/2024
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health12/27/2022 
ActiveCompBenefits Insurance Company301864Agent - Health12/27/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health8/4/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/15/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/15/2022 
InactiveDental Concern Inc. (The)301641Agent - Health10/27/202212/12/2024
InactiveErie Family Life Insurance Company301400Agent - Health8/19/202412/18/2024
InactiveErie Family Life Insurance Company301400Agent - Life8/19/202412/18/2024
InactiveErie Insurance Company300230Agent - Casualty8/19/202412/18/2024
InactiveErie Insurance Company300230Agent - Property8/19/202412/18/2024
InactiveErie Insurance Exchange300789Agent - Casualty8/19/202412/18/2024
InactiveErie Insurance Exchange300789Agent - Property8/19/202412/18/2024
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/13/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/13/2022 
ActiveFrankenmuth Insurance Company301481Agent - Casualty7/28/2022 
ActiveFrankenmuth Insurance Company301481Agent - Property7/28/2022 
InactiveGrange Indemnity Insurance Company300793Agent - Casualty4/7/202211/10/2022
InactiveGrange Indemnity Insurance Company300793Agent - Property4/7/202211/10/2022
InactiveGrange Insurance Company300234Agent - Casualty4/7/202211/10/2022
InactiveGrange Insurance Company300234Agent - Property4/7/202211/10/2022
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty4/7/202211/10/2022
InactiveGrange Property & Casualty Insurance Company601680Agent - Property4/7/202211/10/2022
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/16/202312/12/2024
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/24/2022 
ActiveHumana Insurance Company301104Agent - Health10/19/2022 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/2/202212/12/2024
ActiveMedico Insurance Company301559Agent - Health2/16/2023 
ActiveMedico Insurance Company301559Agent - Life2/16/2023 
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health5/13/20233/6/2025
ActiveOwners Insurance Company300796Agent - Casualty7/29/2022 
ActiveOwners Insurance Company300796Agent - Property7/29/2022 
ActiveSilverScript Insurance Company663526Agent - Health8/31/2022 
InactiveTrustgard Insurance Company300104Agent - Casualty4/7/202211/10/2022
InactiveTrustgard Insurance Company300104Agent - Property4/7/202211/10/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/27/2022 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/27/2022 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health1/30/2023 
ActiveWest Bend Insurance Company672974Agent - Casualty8/2/2022 
ActiveWest Bend Insurance Company672974Agent - Property8/2/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNewman & Tucker Inc.398983Agent - Casualty4/1/2022 
ActiveNewman & Tucker Inc.398983Agent - Property4/1/2022 

© Commonwealth of Kentucky. All rights reserved.