DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Versa Management LLC	DOIID	1044657	NAIC NPN	18776404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/24/2020		3/31/2027
Inactive	Non Resident	Agent	Life	6/19/2019	9/17/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/12/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/12/2020
Active	Gerber Life Insurance Company	300529	Agent - Health	6/30/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/15/2019	9/17/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/7/2022	12/27/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/7/2022	9/17/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/15/2020	2/8/2024
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/15/2020	9/17/2023
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/29/2022	9/17/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022	12/19/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022	9/17/2023
Active	SilverScript Insurance Company	663526	Agent - Health	6/12/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benson, Joshua Tyler	837795	Agent - Health	4/24/2020	2/1/2024
Active	Elmer, Sarah E	625881	Agent - Health	2/28/2023
Denied	Elmer, Sarah E	625881	Agent - Life
Active	Kinkead, William Walsh	1198868	Agent - Health	6/11/2025
Inactive	Maltese, Daniel	589835	Agent - Health	11/29/2022	3/8/2023
Inactive	Maltese, Daniel	589835	Agent - Life	11/29/2022	3/8/2023
Inactive	Strathmeyer, Ryan C	976024	Agent - Life	6/20/2019	6/19/2023
Active	Tatge, Nicholas Daniel	1291383	Agent - Health	2/1/2024
Inactive	Vanvalin, James William	714957	Agent - Health	10/25/2022	3/8/2023
Inactive	Vanvalin, James William	714957	Agent - Life	10/25/2022	3/8/2023