DEPARTMENT OF INSURANCE
Affiliations
NameAcrisure Wallstreet Partners, LLCDOIID1020531NAIC NPN18293503
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth11/29/2018 3/31/2026
Pending ReplacementNon ResidentAgentLife11/29/2018 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
InactiveAccendo Insurance Company300312Agent - Life12/18/202012/19/2025
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health2/24/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health12/18/202012/19/2025
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Health2/24/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Life2/24/2020 
InactiveAmerican Continental Insurance Company643130Agent - Life12/18/20208/11/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/24/201912/26/2025
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/24/201912/26/2025
Pending ReplacementContinental American Insurance Company301700Agent - Health3/18/2019 
Pending ReplacementContinental American Insurance Company301700Agent - Life3/18/2019 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health12/18/202012/19/2025
Pending ReplacementGreat Midwest Insurance Company301418Agent - Health6/17/2019 
Pending ReplacementImperium Insurance Company300804Agent - Health6/17/2019 
Pending ReplacementJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/2/2019 
Pending ReplacementJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/2/2019 
Pending ReplacementSilverScript Insurance Company663526Agent - Health11/1/2019 
Pending ReplacementWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
Pending ReplacementWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAckles, Judy Ann 748728Agent - Life  
InactiveBrenneke, Shannon Marie 1363615Agent - Health10/1/20245/29/2025
DeniedBrenneke, Shannon Marie 1363615Agent - Life  
InactiveCliburn, David 1088239Agent - Health7/21/20206/14/2024
InactiveCliburn, David 1088239Agent - Life7/21/20206/14/2024
PendingGuffy, Michael Ryan 889142Agent - Health  
PendingGuffy, Michael Ryan 889142Agent - Life  
InactiveKolenda, Courtney Lynne 1022910Agent - Health6/10/201912/29/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Life7/1/201912/29/2025
InactiveParker, William L 511526Agent - Health11/29/20181/22/2020
InactiveParker, William L 511526Agent - Life11/29/20181/22/2020
InactiveSepesi, Jeffrey P 321030Agent - Health12/17/20216/4/2025
InactiveSepesi, Jeffrey P 321030Agent - Life12/17/20216/4/2025
InactiveWilbers, Leroy 1021275Agent - Health7/30/20196/2/2020
InactiveWilbers, Leroy 1021275Agent - Life7/30/20196/2/2020

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