DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Anthony Michael	DOIID	1073062	NAIC NPN	13110573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/4/2020		6/30/2024
Active	Non Resident	Agent	Property	2/4/2020		6/30/2024
Active	Non Resident	Agent	Health	2/4/2020		6/30/2024
Active	Non Resident	Agent	Life	2/4/2020		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/3/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/3/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/3/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	11/3/2020	11/20/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/3/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	11/3/2020	11/20/2020
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	2/19/2020	6/7/2022
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/19/2020	6/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Risk Services South, Inc	566581	Agent - Casualty	4/8/2022	6/7/2022
Active	Aon Risk Services South, Inc	566581	Agent - Life	4/8/2022
Active	Aon Risk Services South, Inc	566581	Agent - Health	4/8/2022
Inactive	Aon Risk Services South, Inc	566581	Agent - Property	4/8/2022	6/7/2022
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	2/19/2020	6/7/2022
Denied	Willis Towers Watson Southeast Inc	399919	Agent - Life
Denied	Willis Towers Watson Southeast Inc	399919	Agent - Health
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	2/19/2020	6/7/2022