DEPARTMENT OF INSURANCE
Affiliations
NameAffordable Care Health Insurance LLCDOIID637864NAIC NPN8882448
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/9/2006 3/31/2026
ActiveResidentAgentHealth8/9/2006 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health4/6/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/6/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/14/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health3/11/2021 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life3/11/2021 
InactiveGolden Rule Insurance Company301943Agent - Health5/21/201512/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life5/21/201512/14/2016
ActiveGuarantee Trust Life Insurance Company301043Agent - Health10/24/2023 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life10/24/2023 
ActiveLifeShield National Insurance Company737111Agent - Health2/28/2024 
ActiveLifeShield National Insurance Company737111Agent - Life2/28/2024 
ActiveMedico Corp Life Insurance Company301777Agent - Health2/6/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life2/6/2025 
ActiveMedico Insurance Company301559Agent - Health1/7/2025 
ActiveMedico Insurance Company301559Agent - Life1/7/2025 
InactiveOmaha Health Insurance Company301296Agent - Health1/6/202112/27/2024
ActiveSentinel Security Life Insurance Company935789Agent - Health10/9/2020 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/9/2020 
ActiveSilverScript Insurance Company663526Agent - Health4/6/2020 
ActiveTier One Insurance Company301056Agent - Health6/7/2023 
ActiveTier One Insurance Company301056Agent - Life6/7/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/28/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/28/202012/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health5/21/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life5/21/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/28/202012/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/28/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/1/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBailey, Taylor W 811980Agent - Health7/30/2014 
InactiveCrabtree, Alice J 347470Agent - Health8/9/20069/1/2023
InactiveCrabtree, Alice J 347470Agent - Life8/9/20069/1/2023
ActiveO'Bryan, Scott A 365646Agent - Health3/7/2013 
ActiveO'Bryan, Scott A 365646Agent - Life3/7/2013 
ActiveStone, Cody R 844952Agent - Health8/6/2014 
ActiveStone, Cody R 844952Agent - Life8/6/2014 

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