DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambroise, Tchomassi	DOIID	1341780	NAIC NPN	20704008

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/17/2026		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/23/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	4/23/2026
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/21/2024	3/18/2025
Inactive	HealthSpring Life and Health Insurance Company, Inc.	684899	Agent - Health	11/21/2024	3/18/2025
Inactive	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/21/2024	3/18/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Health