DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holt, Theodore Henry	DOIID	815242	NAIC NPN	8146257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/19/2023		2/28/2027
Active	Non Resident	Agent	Life	12/19/2023		2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/6/2013	8/29/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/6/2013	8/29/2015
Active	United States Fire Insurance Company	582240	Agent - Health	1/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Avant Specialty Benefits LLC	966928	Agent - Health	1/24/2024
Denied	Avant Specialty Benefits LLC	966928	Agent - Life