DEPARTMENT OF INSURANCE
Affiliations
NameCorporate Plans LLCDOIID1018289NAIC NPN2761757
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/7/2018 3/31/2028
ActiveNon ResidentAgentLife11/7/2018 3/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health12/6/2018 
ActiveAetna Life Insurance Company301140Agent - Health12/6/2018 
ActiveAetna Life Insurance Company301140Agent - Life12/6/2018 
ActiveAll Savers Insurance Company301940Agent - Health9/26/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/26/2022 
InactiveAmerican United Life Insurance Company300498Agent - Health4/20/202010/17/2025
InactiveAmerican United Life Insurance Company300498Agent - Life4/20/202010/17/2025
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/22/2018 
InactiveAnthem Life Insurance Company301209Agent - Health11/22/20184/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life11/22/20184/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/1/2020 
InactiveBerkshire Life Insurance Company of America300983Agent - Health11/20/201810/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life11/20/201810/12/2020
ActiveCompBenefits Insurance Company301864Agent - Health1/28/2021 
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/6/20186/15/2022
InactiveDental Care Plus Inc.301495Agent - Health1/9/20193/31/2025
ActiveDental Concern Inc. (The)301641Agent - Health12/30/2020 
ActiveEmphesys Insurance Company300598Agent - Health2/3/2026 
ActiveFidelity Security Life Insurance Company300466Agent - Health12/4/2018 
ActiveFidelity Security Life Insurance Company300466Agent - Life12/4/2018 
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/20/201810/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Health11/20/201812/13/2024
InactiveGuardian Life Insurance Company of America301316Agent - Life11/20/201812/13/2024
ActiveHCC Life Insurance Company301827Agent - Health3/26/2019 
ActiveHCC Life Insurance Company301827Agent - Life3/26/2019 
InactiveHartford Life and Accident Insurance Company300878Agent - Health2/12/20209/24/2025
InactiveHartford Life and Accident Insurance Company300878Agent - Life2/12/20209/24/2025
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/27/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health1/27/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health4/28/2020 
ActiveHumana Insurance Company301104Agent - Health12/30/2020 
InactiveHumana Insurance Company301104Agent - Life6/26/201912/19/2019
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/30/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health1/27/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/27/2021 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/29/201810/10/2025
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/29/201810/10/2025
ActiveMetropolitan Life Insurance Company301948Agent - Health11/20/2018 
ActiveMetropolitan Life Insurance Company301948Agent - Life11/20/2018 
InactiveMutual of Omaha Insurance Company301012Agent - Health8/15/20199/19/2025
ActiveNGL Insurance Company300596Agent - Health6/20/2019 
ActiveNationwide Life Insurance Company300495Agent - Health9/21/2022 
ActiveNationwide Life Insurance Company300495Agent - Life9/21/2022 
ActivePrincipal Life Insurance Company300129Agent - Health1/9/2019 
ActivePrincipal Life Insurance Company300129Agent - Life1/9/2019 
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/20/20189/30/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/20/20189/30/2025
ActiveReliaStar Life Insurance Company301712Agent - Health9/17/2019 
ActiveReliaStar Life Insurance Company301712Agent - Life9/17/2019 
ActiveStandard Insurance Company300185Agent - Health8/13/2019 
ActiveStandard Insurance Company300185Agent - Life8/13/2019 
InactiveStarmount Life Insurance Company628031Agent - Health11/20/20189/30/2025
ActiveSun Life Assurance Company of Canada301811Agent - Health3/11/2019 
ActiveSun Life Assurance Company of Canada301811Agent - Life3/11/2019 
InactiveSymetra Life Insurance Company301691Agent - Health8/25/20231/5/2026
InactiveSymetra Life Insurance Company301691Agent - Life8/25/20231/5/2026
ActiveTalcott Resolution Life Insurance Company301759Agent - Health12/4/2018 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life12/4/2018 
InactiveUNUM Life Insurance Company of America300817Agent - Health11/20/20189/30/2025
InactiveUNUM Life Insurance Company of America300817Agent - Life11/20/20189/30/2025
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/15/20199/19/2025
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/15/20199/19/2025
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/21/2018 
ActiveUnitedHealthcare Insurance Company300946Agent - Life11/21/2018 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/21/2018 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/21/2018 
InactiveUnum Insurance Company301499Agent - Health11/20/20189/30/2025
InactiveUnum Insurance Company301499Agent - Life11/20/20189/30/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBailey, Grant Studebaker 320517Agent - Health10/29/20244/16/2026
InactiveBailey, Grant Studebaker 320517Agent - Life10/29/20244/16/2026
InactiveDieter, Matt S 582652Agent - Health10/8/20208/2/2023
InactiveDieter, Matt S 582652Agent - Life10/8/20208/2/2023
DeniedFearon, Melissa 999004Agent - Health  
DeniedFearon, Melissa 999004Agent - Life  
DeniedHyland, Edward J 504175Agent - Health  
DeniedHyland, Edward J 504175Agent - Life  
InactiveLevitz, Alan J 312664Agent - Health11/7/201812/9/2025
InactiveLevitz, Alan J 312664Agent - Life11/7/201812/9/2025
ActiveSouders, David Scott 1126898Agent - Health12/9/2025 
ActiveSouders, David Scott 1126898Agent - Life12/9/2025 

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