DEPARTMENT OF INSURANCE
Affiliations
NameSmall, Justice DOIID1331420NAIC NPN20998525
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/25/2024 6/30/2026
ActiveNon ResidentAgentLife5/21/2025 6/30/2026
* 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
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health3/28/202410/30/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health3/28/202410/30/2024
InactiveAetna Life Insurance Company301140Agent - Health3/28/202410/30/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/18/2024 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/18/2024 
InactiveArcadian Health Plan, Inc.728196Agent - Health5/8/202510/15/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health3/25/20248/4/2025
ActiveColonial Penn Life Insurance Company300491Agent - Life5/29/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health4/18/2024 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/4/2024 
ActiveGolden Rule Insurance Company301943Agent - Health7/29/2025 
ActiveGolden Rule Insurance Company301943Agent - Life7/29/2025 
InactiveSilverScript Insurance Company663526Agent - Health3/28/202410/30/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/25/20248/4/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/25/20248/4/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Activee-Telequote Insurance, Inc.687772Agent - Health4/15/2025 

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