DEPARTMENT OF INSURANCE

Affiliations

Name	Brokers Alliance	DOIID	709745	NAIC NPN	2102629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/20/2026	3/31/2027
Active	Non Resident	Agent	Life	7/21/2009	3/31/2027
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/2/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/23/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/24/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	1/24/2026
Inactive	American Continental Insurance Company	643130	Agent - Life	8/15/2017	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	6/16/2011	8/27/2012
Active	American General Life Insurance Company	301585	Agent - Life	11/4/2016
Active	American National Insurance Company	301861	Agent - Life	12/18/2014
Inactive	American United Life Insurance Company	300498	Agent - Life	4/17/2012	12/29/2016
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	4/2/2025
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/3/2009	12/23/2016
Active	Banner Life Insurance Company	301696	Agent - Life	9/30/2011
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/23/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/2/2025
Active	EquiTrust Life Insurance Company	502870	Agent - Life	4/30/2024
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	2/20/2010
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/20/2021
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/16/2011	12/15/2025
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/2/2009	12/3/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	2/3/2014
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Life	4/16/2022	8/26/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/29/2017	4/20/2018
Active	Life Insurance Company of the Southwest	301867	Agent - Life	12/8/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/23/2009
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/17/2021	10/9/2024
Active	Nassau Life and Annuity Company	513671	Agent - Life	2/22/2019
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/26/2012	3/29/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/12/2009
Active	North American Company for Life and Health Insurance	300291	Agent - Life	7/16/2011
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/28/2014	12/2/2020
Active	Pacific Life Insurance Company	301848	Agent - Life	3/20/2017
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Life	4/17/2012	12/29/2016
Active	Protective Life Insurance Company	300638	Agent - Life	3/31/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	4/8/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	6/9/2014	5/24/2021
Active	Royal Neighbors of America	301646	Agent - Life	2/2/2021
Active	SilverScript Insurance Company	663526	Agent - Health	1/24/2026
Active	State Life Insurance Company	301497	Agent - Life	4/17/2012
Active	Tier One Insurance Company	301056	Agent - Life	8/21/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/23/2026
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/23/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Racich, David Joseph	719845	Agent - Life	5/4/2012
Inactive	Racich, Joseph Michael	555191	Agent - Life	7/21/2009	5/4/2012
Active	Truhlar, Charles A	1029193	Agent - Health	1/20/2026