DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Triplett, Andre Deon	DOIID	1227348	NAIC NPN	20052962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/1/2022		12/31/2025
Active	Non Resident	Agent	Life	9/1/2022		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/17/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/17/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/26/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2022	1/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/1/2022	1/13/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/1/2022	1/13/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2022	1/13/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2022	1/13/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/4/2022	11/2/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/1/2022	1/13/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/17/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/17/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/26/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/4/2022	11/2/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/4/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/4/2022	11/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024