PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAdvantage National Marketing LLCDOIID776103NAIC NPN16563313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth3/2/2012 3/31/2026
ActiveResidentAgentLife3/2/2012 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
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
ActiveAccendo Insurance Company300312Agent - Life10/9/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health3/6/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/10/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/30/2020 
ActiveAetna Life Insurance Company301140Agent - Health3/6/2020 
InactiveAmerican Continental Insurance Company643130Agent - Health8/25/201410/28/2015
InactiveAmerican Continental Insurance Company643130Agent - Life10/10/20178/11/2021
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/24/2013 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/5/201211/20/2013
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/17/201312/24/2015
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health8/20/20156/8/2016
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life8/20/20156/8/2016
ActiveAugustar Life Assurance Corporation301113Agent - Health1/21/2022 
ActiveAugustar Life Assurance Corporation301113Agent - Life1/21/2022 
ActiveAugustar Life Insurance Company301816Agent - Life1/21/2022 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/10/2018 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/10/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health5/10/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life5/10/2018 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/9/201712/21/2018
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/18/20225/9/2023
ActiveColumbus Life Insurance Company301227Agent - Life10/21/2021 
InactiveCombined Insurance Company of America301472Agent - Health1/27/201410/15/2020
ActiveCompBenefits Insurance Company301864Agent - Health1/4/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/10/2017 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life10/1/20127/17/2014
ActiveDental Concern Inc. (The)301641Agent - Health7/25/2024 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/13/20155/28/2018
InactiveForethought Life Insurance Company301407Agent - Health9/3/201312/29/2014
InactiveGerber Life Insurance Company300529Agent - Health7/7/20136/25/2018
InactiveGerber Life Insurance Company300529Agent - Life7/7/20136/25/2018
InactiveGreat Western Insurance Company501693Agent - Life1/16/20239/12/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Health12/14/202212/27/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Life12/14/202212/27/2024
ActiveHumana Insurance Company301104Agent - Health9/19/2022 
ActiveLafayette Life Insurance Company (The)301039Agent - Life4/9/2021 
InactiveLiberty Bankers Life Insurance Company542461Agent - Life4/26/201512/5/2018
InactiveLoyal American Life Insurance Company301172Agent - Health10/3/201412/21/2018
InactiveLoyal American Life Insurance Company301172Agent - Life2/22/201812/21/2018
InactiveMedico Corp Life Insurance Company301777Agent - Health8/15/20142/13/2017
InactiveMedico Corp Life Insurance Company301777Agent - Life8/15/20142/13/2017
InactiveMedico Insurance Company301559Agent - Health8/15/20142/13/2017
InactiveMedico Insurance Company301559Agent - Life8/15/20142/13/2017
InactiveMutual of Omaha Insurance Company301012Agent - Health10/4/20178/22/2018
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/4/20154/26/2019
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life1/8/2021 
ActiveOhio State Life Insurance Company (The)300865Agent - Life2/24/2022 
InactiveOmaha Insurance Company751908Agent - Health10/4/20178/8/2018
InactivePHL Variable Insurance Company300525Agent - Life10/31/201412/4/2020
ActiveSilverScript Insurance Company663526Agent - Health3/6/2020 
InactiveStonebridge Life Insurance Company301614Agent - Health9/14/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life9/14/201210/1/2015
ActiveTransamerica Life Insurance Company300571Agent - Health8/18/2014 
ActiveTransamerica Life Insurance Company300571Agent - Life8/18/2014 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/27/201510/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/27/201510/1/2020
InactiveUnited Teacher Associates Insurance Company300747Agent - Health9/9/201311/25/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/4/20178/22/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/4/20178/22/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/18/20225/9/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/18/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health1/23/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/30/20154/30/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/18/20225/9/2023
ActiveWashington National Insurance Company300587Agent - Health6/20/2013 
ActiveWashington National Insurance Company300587Agent - Life6/20/2013 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/15/20223/1/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/15/20223/1/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCostellow, Caleb Allen 636588Agent - Health3/14/2012 
ActiveCostellow, Caleb Allen 636588Agent - Life3/14/2012 
DeniedCostellow, Glenda D 370200Agent - Health  
ActiveCostellow, Glenda D 370200Agent - Life8/23/2023 
ActiveCostellow, Wayburn Allen 347664Agent - Health3/14/2012 
ActiveCostellow, Wayburn Allen 347664Agent - Life3/14/2012 
InactiveMcCoy, Bonita Faye 319743Agent - Health12/3/20125/1/2023
InactiveMcCoy, Bonita Faye 319743Agent - Life5/1/20195/1/2023

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