DEPARTMENT OF INSURANCE

Affiliations

Name	Amwins Connect Insurance Services LLC	DOIID	1207085	NAIC NPN	2744948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	5/25/2022	3/31/2028
Pending Replacement	Non Resident	Agent	Life	5/25/2022	3/31/2028
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/7/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/7/2024
Pending Replacement	All Savers Insurance Company	301940	Agent - Health	2/1/2025
Pending Replacement	All Savers Insurance Company	301940	Agent - Life	2/1/2025
Pending Replacement	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/8/2023
Pending Replacement	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/8/2023
Pending Replacement	Dental Concern Inc. (The)	301641	Agent - Health	6/6/2023
Pending Replacement	Equitable Financial Life Insurance Company of America	301772	Agent - Health	5/31/2022
Pending Replacement	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/31/2022
Pending Replacement	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/23/2025
Pending Replacement	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/23/2025
Pending Replacement	Humana Insurance Company	301104	Agent - Health	6/6/2023
Pending Replacement	Humana Insurance Company of Kentucky	300826	Agent - Health	6/6/2023
Pending Replacement	Humana Insurance Company of Kentucky	300826	Agent - Life	6/6/2023
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Health	7/10/2023
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Life	7/10/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	7/10/2023	10/1/2026
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Health	7/10/2023
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Life	7/10/2023
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	2/1/2025
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Life	2/1/2025
Pending Replacement	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/1/2025
Pending Replacement	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	2/1/2025
Pending Replacement	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/1/2025
Pending Replacement	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	2/1/2025
Pending Replacement	Unum Insurance Company	301499	Agent - Health	7/10/2023
Pending Replacement	Unum Insurance Company	301499	Agent - Life	7/10/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Falanga, Timothy J	570630	Agent - Health	5/25/2022	8/31/2026
Inactive	Falanga, Timothy J	570630	Agent - Life	5/25/2022	8/31/2026