DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Atticus	DOIID	1343872	NAIC NPN	21208436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/6/2024		2/28/2026
Active	Non Resident	Agent	Life	6/6/2024		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/16/2024
Active	Accendo Insurance Company	300312	Agent - Life	6/20/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/20/2024
Active	Loyal American Life Insurance Company	301172	Agent - Health	5/12/2025
Active	Tier One Insurance Company	301056	Agent - Life	6/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	6/28/2024	6/28/2024
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	6/28/2024	6/28/2024
Active	Spring Ins Solutions LLC	788951	Agent - Health	6/28/2024
Active	Spring Ins Solutions LLC	788951	Agent - Life	6/28/2024