DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Trident Life Services, Inc.,	DOIID	1222511	NAIC NPN	19969306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/23/2024		3/31/2028
Active	Non Resident	Agent	Health	8/11/2022		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
Active	Accendo Insurance Company	300312	Agent - Life	3/4/2026
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/4/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/4/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/4/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/26/2023	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/26/2023	1/30/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/11/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Health	5/28/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Life	5/28/2024
Active	National Health Insurance Company	300554	Agent - Health	11/21/2023
Inactive	National Health Insurance Company	300554	Agent - Life	11/21/2023	1/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/4/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/20/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	10/20/2023	1/30/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/9/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/9/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Adams, Tyler Lee	1316582	Agent - Health	1/30/2024
Active	Adams, Tyler Lee	1316582	Agent - Life	5/23/2024
Inactive	Bosworth, Eric	1112431	Agent - Health	8/11/2022	1/30/2024
Inactive	Bosworth, Eric	1112431	Agent - Life	8/11/2022	1/30/2024