DEPARTMENT OF INSURANCE
Affiliations
NamePremier Insurance Managers Inc.DOIID400412NAIC NPN7222391
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth8/10/1988 3/31/2026
ActiveResidentAgentLife8/10/1988 3/31/2026
InactiveResidentAgentHealth Maintenance Organization6/20/19883/1/2001 
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health3/9/20104/24/2017
InactiveAetna Life Insurance Company301140Agent - Health3/9/20104/24/2017
InactiveAetna Life Insurance Company301140Agent - Life3/9/20104/24/2017
ActiveAllianz Life Insurance Company of North America301791Agent - Health4/15/2003 
ActiveAllianz Life Insurance Company of North America301791Agent - Life4/15/2003 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life2/14/20124/16/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/31/2001 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/31/2001 
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/201211/29/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201211/29/2017
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health8/9/200612/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life8/9/200612/31/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health4/20/19953/31/1997
InactiveAmerican Heritage Life Insurance Company300272Agent - Life4/20/19953/31/1997
InactiveAmerican National Insurance Company301861Agent - Health5/24/19913/31/1997
InactiveAmerican National Insurance Company301861Agent - Life5/24/19913/31/1997
InactiveAmerican Retirement Life Insurance Company706303Agent - Health5/7/201412/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/7/201412/21/2018
InactiveAmerican States Life Insurance Company301884Agent - Health11/11/200212/6/2004
InactiveAmerican States Life Insurance Company301884Agent - Life11/11/200212/6/2004
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/12/20144/30/2016
InactiveAmeritas Life Insurance Corporation300126Agent - Health2/21/200011/26/2002
InactiveAmeritas Life Insurance Corporation300126Agent - Life2/21/200011/26/2002
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/2001 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization6/20/19883/1/2001
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/20/19994/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/20/19994/15/2025
InactiveAssurity Life Insurance Company301099Agent - Health5/16/20071/27/2009
InactiveAssurity Life Insurance Company301099Agent - Life5/16/20071/27/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Life6/10/20108/13/2015
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life11/13/20095/8/2013
InactiveAugustar Life Assurance Corporation301113Agent - Health12/20/201712/29/2020
InactiveAugustar Life Assurance Corporation301113Agent - Life12/20/201712/29/2020
InactiveAugustar Life Insurance Company301816Agent - Health12/20/201712/29/2020
InactiveAugustar Life Insurance Company301816Agent - Life12/20/201712/29/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health6/3/20025/14/2003
InactiveBankers Fidelity Life Insurance Company300193Agent - Life6/3/20025/14/2003
InactiveCHA HMO, Inc.300662Agent - Health2/1/200210/10/2014
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/17/2013 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/17/2013 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/21/2023
ActiveCareSource Kentucky Co.838179Agent - Health12/16/2020 
InactiveCentral States Health and Life Company of Omaha301874Agent - Health9/4/200111/22/2002
InactiveCentral States Health and Life Company of Omaha301874Agent - Life9/4/200111/22/2002
InactiveClear Spring Life and Annuity Company300919Agent - Life12/9/201511/25/2024
InactiveCombined Insurance Company of America301472Agent - Health4/1/20166/17/2021
InactiveCompBenefits Dental, Inc.591692Agent - Health12/28/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health6/27/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/27/20087/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health5/1/200012/16/2004
InactiveCompanion Life Insurance Company300191Agent - Life5/1/200012/16/2004
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health9/16/20106/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life9/16/20106/11/2014
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveDelaware Life Insurance Company301256Agent - Life1/26/2006 
InactiveDental Concern Inc. (The)301641Agent - Health11/7/200812/13/2022
InactiveEquiTrust Life Insurance Company502870Agent - Life7/27/20124/23/2022
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/8/2012 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health11/7/20114/24/2017
ActiveForethought Life Insurance Company301407Agent - Health12/13/2010 
ActiveForethought Life Insurance Company301407Agent - Life12/13/2010 
InactiveGenworth Life Insurance Company300623Agent - Health11/15/201210/30/2013
InactiveGenworth Life Insurance Company300623Agent - Life11/15/201210/30/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/13/20101/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/13/20101/7/2014
InactiveGerber Life Insurance Company300529Agent - Health9/2/20143/17/2025
InactiveGerber Life Insurance Company300529Agent - Life9/2/20143/17/2025
InactiveGolden Rule Insurance Company301943Agent - Health11/17/20053/27/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/17/20053/27/2008
ActiveHealthSpring National Health Insurance Company300235Agent - Health6/14/2022 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/20/202012/15/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/20/202012/15/2020
InactiveHumana Health Plan, Inc.300142Agent - Health3/9/202112/13/2022
InactiveHumana Insurance Company301104Agent - Health11/16/202312/12/2024
InactiveHumana Insurance Company301104Agent - Life6/7/200612/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/9/202112/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/9/202112/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health2/20/202012/15/2020
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/20/202012/15/2020
InactiveHumanaDental Insurance Company301457Agent - Health6/27/200812/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life6/27/200812/19/2012
ActiveIllinois Mutual Life Insurance Company301479Agent - Health11/29/2022 
ActiveIllinois Mutual Life Insurance Company301479Agent - Life11/29/2022 
InactiveIndependence American Insurance Company524747Agent - Health11/27/201812/18/2020
InactiveInter-State Assurance Company301556Agent - Life12/11/20004/4/2002
InactiveKanawha Insurance Company300127Agent - Health6/27/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life6/27/20088/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life8/24/201111/10/2014
InactiveMedico Corp Life Insurance Company301777Agent - Health4/29/201412/26/2014
InactiveMedico Insurance Company301559Agent - Health4/29/201412/26/2014
InactiveMedico Insurance Company301559Agent - Life4/29/201412/26/2014
InactiveMutual of Omaha Insurance Company301012Agent - Health10/28/200912/26/2012
InactiveNational Western Life Insurance Company301515Agent - Life8/12/201312/10/2019
InactiveNorth American Company for Life and Health Insurance300291Agent - Health7/27/20104/3/2021
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/27/2010 
InactiveOxford Life Insurance Company301079Agent - Health1/23/201312/13/2023
InactiveOxford Life Insurance Company301079Agent - Life1/23/201312/13/2023
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/1/200811/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life10/1/20087/17/2012
InactivePioneer Life Insurance Company300110Agent - Health6/14/19997/1/2003
InactivePioneer Life Insurance Company300110Agent - Life6/14/19997/1/2003
ActiveReliaStar Life Insurance Company301712Agent - Health3/5/2001 
ActiveReliaStar Life Insurance Company301712Agent - Life3/5/2001 
InactiveReliaStar Life Insurance Company of New York301018Agent - Health3/5/20016/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life3/5/20016/25/2008
InactiveReliance Standard Life Insurance Company300584Agent - Health5/20/20081/23/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life5/20/20081/23/2015
InactiveReserve National Insurance Company301073Agent - Health6/5/201310/1/2015
InactiveReserve National Insurance Company301073Agent - Life6/5/201310/1/2015
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health2/25/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life2/25/200010/1/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health3/22/199512/31/1998
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life3/22/199512/31/1998
ActiveSentinel Security Life Insurance Company935789Agent - Health5/30/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life5/30/2022 
ActiveStandard Insurance Company300185Agent - Health3/4/2024 
ActiveStandard Insurance Company300185Agent - Life3/4/2024 
InactiveStandard Life and Accident Insurance Company301534Agent - Health1/10/20019/7/2011
InactiveStandard Life and Accident Insurance Company301534Agent - Life1/10/20019/7/2011
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/22/20021/11/2010
InactiveSymetra Life Insurance Company301691Agent - Health11/11/20024/17/2009
InactiveSymetra Life Insurance Company301691Agent - Life11/11/20024/17/2009
InactiveTime Insurance Company300683Agent - Health8/10/19883/1/2001
InactiveTime Insurance Company300683Agent - Life8/10/19883/1/2001
InactiveTransamerica Life Insurance Company300571Agent - Health12/1/19978/30/1999
InactiveTransamerica Life Insurance Company300571Agent - Life12/1/19978/30/1999
InactiveUnited World Life Insurance Company300532Agent - Health10/28/200912/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/28/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/28/200912/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/1/20082/21/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/1/20085/19/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/1/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20152/21/2023
InactiveWashington National Insurance Company300587Agent - Health7/1/20033/8/2005
InactiveWashington National Insurance Company300587Agent - Life7/1/20033/8/2005
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/30/20198/29/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/30/201912/29/2021
InactiveWilco Life Insurance Company300122Agent - Health4/15/19914/2/2001
InactiveWilco Life Insurance Company300122Agent - Life4/15/19914/2/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAdams, Fred Michael 340891Agent - Health  
DeniedAdams, Fred Michael 340891Agent - Life  
InactiveAllen, Patricia W 718325Agent - Health2/21/20147/8/2024
InactiveAllen, Patricia W 718325Agent - Life2/21/20147/8/2024
InactiveAshley, Eric E 588450Agent - Health10/18/20044/30/2006
InactiveAshley, Eric E 588450Agent - Life10/18/20044/30/2006
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
ActiveGoodson, Deborah Gail 340915Agent - Health2/25/1988 
ActiveGoodson, Deborah Gail 340915Agent - Life2/25/1988 
InactiveHunter, Paul Berton 372899Agent - Health5/5/20115/1/2018
InactiveHunter, Paul Berton 372899Agent - Life5/5/20115/1/2018
DeniedPruitt, Audrie Shayne 1260509Agent - Health  
InactiveRice, April 984718Agent - Health7/9/20183/31/2021
InactiveRice, April 984718Agent - Life7/9/20183/31/2021
ActiveSlone, Stephen Andrew 828204Agent - Health2/20/2014 
ActiveSlone, Stephen Andrew 828204Agent - Life2/20/2014 
Pending ReplacementTerry, Bill V 389884Agent - Health1/12/2004 
Pending ReplacementTerry, Bill V 389884Agent - Life1/12/2004 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsurance One Inc.399840Agent - Life10/21/19913/31/1998
InactiveInsurance One Inc.399840Agent - Health10/21/19913/31/1998

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