DEPARTMENT OF INSURANCE

Affiliations

Name	Evrard, Adam Matthew	DOIID	892563	NAIC NPN	17551394

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/23/2015	3/31/2026
Active	Non Resident	Agent	Casualty	9/23/2015	3/31/2026
Active	Non Resident	Agent	Health	9/23/2015	3/31/2026
Active	Non Resident	Agent	Life	9/23/2015	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	4/10/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/10/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/25/2015	12/11/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/25/2015	12/11/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/25/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/25/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/25/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/25/2015	11/14/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/6/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/6/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/6/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/6/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/6/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	11/6/2024
Active	Companion Life Insurance Company	300191	Agent - Health	3/12/2018
Active	Companion Life Insurance Company	300191	Agent - Life	3/12/2018
Active	National Health Insurance Company	300554	Agent - Health	7/13/2023
Active	National Health Insurance Company	300554	Agent - Life	7/13/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	1/12/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2022
Active	North River Insurance Company (The)	301739	Agent - Health	4/1/2021
Active	Ohio Security Insurance Company	300622	Agent - Casualty	9/13/2019
Active	Ohio Security Insurance Company	300622	Agent - Property	9/13/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	5/31/2023	7/22/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/9/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/1/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/10/2024	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/10/2024	12/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Home Ins Agency - Tell Cty Inc	610652	Agent - Life
Denied	Home Ins Agency - Tell Cty Inc	610652	Agent - Health
Active	Home Ins Agency - Tell Cty Inc	610652	Agent - Property	4/27/2017
Active	Home Ins Agency - Tell Cty Inc	610652	Agent - Casualty	4/27/2017