PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameVersa Management LLCDOIID1044657NAIC NPN18776404
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth4/24/2020 3/31/2027
InactiveNon ResidentAgentLife6/19/20199/17/2023 
* 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health6/12/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health6/12/2020 
ActiveGerber Life Insurance Company300529Agent - Health6/30/2022 
InactiveGerber Life Insurance Company300529Agent - Life8/15/20199/17/2023
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/7/202212/27/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/7/20229/17/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/15/20202/8/2024
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/15/20209/17/2023
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/29/20229/17/2023
InactivePruco Life Insurance Company300954Agent - Health4/7/202212/19/2023
InactivePruco Life Insurance Company300954Agent - Life4/7/20229/17/2023
ActiveSilverScript Insurance Company663526Agent - Health6/12/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBenson, Joshua Tyler 837795Agent - Health4/24/20202/1/2024
ActiveElmer, Sarah E 625881Agent - Health2/28/2023 
DeniedElmer, Sarah E 625881Agent - Life  
ActiveKinkead, William Walsh 1198868Agent - Health6/11/2025 
InactiveMaltese, Daniel 589835Agent - Health11/29/20223/8/2023
InactiveMaltese, Daniel 589835Agent - Life11/29/20223/8/2023
InactiveStrathmeyer, Ryan C 976024Agent - Life6/20/20196/19/2023
Pending ReplacementTatge, Nicholas Daniel 1291383Agent - Health2/1/2024 
InactiveVanvalin, James William 714957Agent - Health10/25/20223/8/2023
InactiveVanvalin, James William 714957Agent - Life10/25/20223/8/2023

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