DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Eboni	DOIID	1353898	NAIC NPN	21262935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/2024		5/31/2027
Active	Non Resident	Agent	Life	8/5/2024		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/20/2024	6/1/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/20/2024	6/1/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/20/2024	6/1/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/5/2024	5/11/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/5/2024	5/11/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/10/2024	2/16/2026
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/14/2024	3/27/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/5/2024	5/11/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/20/2024	6/1/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/26/2024	2/16/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	1/2/2025	3/6/2026
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/2/2025	2/5/2026