DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Aviance	DOIID	1357223	NAIC NPN	21274325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	8/22/2024		2/28/2027
Active	Non Resident	Agent	Health	7/6/2026		2/28/2027
Active	Non Resident	Agent	Life	7/6/2026		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/16/2026
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	7/9/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/8/2026
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/8/2026
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/8/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/16/2026
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	8/24/2024	12/30/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	10/23/2025	7/17/2026
Active	SilverScript Insurance Company	663526	Agent - Health	7/9/2026
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	8/24/2024	12/30/2024
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	8/24/2024	12/30/2024
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	8/24/2024	12/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	11/7/2024	12/30/2024
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	12/22/2025	6/19/2026