DEPARTMENT OF INSURANCE

Affiliations

Name	Aaa Life Agency LLC	DOIID	1063780	NAIC NPN	19247813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/1/2019	3/31/2025
Active	Non Resident	Agent	Life	11/1/2019	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AAA Life Insurance Company	300287	Agent - Health	11/21/2019
Active	AAA Life Insurance Company	300287	Agent - Life	11/21/2019
Active	Minnesota Life Insurance Company	300488	Agent - Health	12/22/2020
Active	Minnesota Life Insurance Company	300488	Agent - Life	12/22/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, Jeffrey W	501700	Agent - Health	4/17/2020	10/9/2024
Inactive	Adams, Jeffrey W	501700	Agent - Life	4/17/2020	10/9/2024
Active	Alicea, Kayla	1264459	Agent - Health	4/13/2023
Active	Alicea, Kayla	1264459	Agent - Life	4/13/2023
Active	Bacote, Paula	1223543	Agent - Health	4/27/2023
Active	Bacote, Paula	1223543	Agent - Life	4/27/2023
Inactive	Baldwin, Mitchell Walker	697499	Agent - Health	10/27/2023	5/14/2024
Inactive	Baldwin, Mitchell Walker	697499	Agent - Life	10/27/2023	5/13/2024
Active	Benn, Mark	1120348	Agent - Life	4/19/2021
Inactive	Bostick, David Allan	951394	Agent - Health	11/4/2021	8/12/2024
Inactive	Bostick, David Allan	951394	Agent - Life	11/4/2021	8/12/2024
Inactive	Brogle, Scarlett Jean	767845	Agent - Health	3/23/2021	4/1/2022
Inactive	Brogle, Scarlett Jean	767845	Agent - Life	3/23/2021	4/1/2022
Active	Brown, Tyler	782226	Agent - Health	3/23/2021
Active	Brown, Tyler	782226	Agent - Life	3/23/2021
Active	Bruce, Sebastian Michael	1026505	Agent - Life	4/22/2021
Active	Chamness, John I	886430	Agent - Health	4/20/2020
Active	Chamness, John I	886430	Agent - Life	4/20/2020
Active	Cleaver, Corey Adams	960678	Agent - Health	3/23/2021
Active	Cleaver, Corey Adams	960678	Agent - Life	3/23/2021
Active	Codd, Ishanna Alice	1114983	Agent - Health	8/4/2023
Active	Codd, Ishanna Alice	1114983	Agent - Life	8/4/2023
Inactive	Collins, John Wesley	552724	Agent - Health	4/20/2020	8/31/2020
Inactive	Collins, John Wesley	552724	Agent - Life	4/20/2020	8/31/2020
Active	Corder, Brock Ashley	643383	Agent - Health	3/23/2021
Active	Corder, Brock Ashley	643383	Agent - Life	3/23/2021
Active	Daniel, Morey E	376984	Agent - Health	4/20/2020
Active	Daniel, Morey E	376984	Agent - Life	4/20/2020
Active	Edwards, William A	1334151	Agent - Health	4/18/2024
Active	Edwards, William A	1334151	Agent - Life	4/18/2024
Active	Farley, William	1232769	Agent - Health	5/13/2024
Active	Farley, William	1232769	Agent - Life	5/13/2024
Active	Farvour, Sarah	1115725	Agent - Health	2/16/2022
Active	Farvour, Sarah	1115725	Agent - Life	2/16/2022
Active	Federspiel, Joseph Michael	846560	Agent - Health	1/21/2022
Active	Federspiel, Joseph Michael	846560	Agent - Life	1/21/2022
Denied	Frey, John G	651747	Agent - Health
Denied	Frey, John G	651747	Agent - Life
Active	Fultz, Jeremy Joseph	595399	Agent - Health	3/23/2021
Active	Fultz, Jeremy Joseph	595399	Agent - Life	3/23/2021
Active	Ganucheau, Michael	798582	Agent - Life	3/23/2021
Active	Gentile, Brent	1166392	Agent - Health	9/8/2023
Active	Gentile, Brent	1166392	Agent - Life	9/8/2023
Active	Gidaro, Ryan	1346823	Agent - Life	10/7/2024
Active	Givens, Jana Kaye	1065659	Agent - Life	12/12/2023
Inactive	Glover, Carrie B	512104	Agent - Health	5/6/2021	10/10/2023
Inactive	Glover, Carrie B	512104	Agent - Life	5/6/2021	10/10/2023
Inactive	Heidel, Toni Renee	881249	Agent - Health	11/4/2021	4/7/2022
Inactive	Heidel, Toni Renee	881249	Agent - Life	11/4/2021	4/7/2022
Active	Hitchcock, Craig Alan	547984	Agent - Health	4/14/2023
Active	Hitchcock, Craig Alan	547984	Agent - Life	4/14/2023
Active	Huff, Ryan Daniel Reyburn	580065	Agent - Life	1/8/2021
Active	Jackson, Sonia M	721133	Agent - Health	11/16/2023
Active	Jackson, Sonia M	721133	Agent - Life	10/3/2023
Active	Johnson, Charles Marvin	813057	Agent - Health	11/4/2021
Active	Johnson, Charles Marvin	813057	Agent - Life	11/4/2021
Active	Kelder, Mark Todd	322658	Agent - Health	3/23/2021
Active	Kelder, Mark Todd	322658	Agent - Life	3/23/2021
Inactive	Likavec, Susan	1102677	Agent - Life	4/19/2021	8/18/2022
Inactive	Mccarrie, Joseph	1223886	Agent - Health	2/23/2023	6/23/2024
Inactive	Mccarrie, Joseph	1223886	Agent - Life	2/23/2023	6/23/2024
Active	Mcintyre, Lori Elaine	509178	Agent - Health	4/20/2020
Active	Mcintyre, Lori Elaine	509178	Agent - Life	4/20/2020
Active	Molloy, Robert Joseph	1061382	Agent - Health	11/1/2019
Active	Molloy, Robert Joseph	1061382	Agent - Life	11/1/2019
Inactive	Mullins, Bryan	1073327	Agent - Health	2/9/2022	10/1/2023
Inactive	Mullins, Bryan	1073327	Agent - Life	2/9/2022	10/1/2023
Inactive	Murphy, Daniel T	722486	Agent - Health	3/2/2023	5/31/2024
Inactive	Murphy, Daniel T	722486	Agent - Life	3/2/2023	5/31/2024
Active	Parris, Tanya M	1340495	Agent - Life	12/17/2024
Active	Real, Larry Chris	1261877	Agent - Health	3/17/2023
Inactive	Real, Larry Chris	1261877	Agent - Life	3/17/2023	5/31/2023
Active	Redmond, Sarah Kathryn	877737	Agent - Health	3/23/2021
Active	Redmond, Sarah Kathryn	877737	Agent - Life	3/23/2021
Inactive	Sarden, Lyle Edward	1227929	Agent - Health	11/9/2022	4/30/2024
Inactive	Sarden, Lyle Edward	1227929	Agent - Life	11/9/2022	5/17/2023
Active	Stubblefield, Michael Trent	838322	Agent - Health	4/19/2021
Active	Stubblefield, Michael Trent	838322	Agent - Life	4/19/2021
Inactive	Tisdale, Shari Yvonne	1253794	Agent - Health	12/1/2023	4/13/2024
Inactive	Tisdale, Shari Yvonne	1253794	Agent - Life	12/1/2023	4/13/2024
Active	Traylor, Nathan Charles	939033	Agent - Health	11/4/2021
Active	Traylor, Nathan Charles	939033	Agent - Life	11/4/2021
Active	Vitatoe, Whitney Halsey	836301	Agent - Life	11/4/2021
Inactive	Wall, Beth Ann	1029956	Agent - Health	11/4/2021	6/30/2022
Inactive	Wall, Beth Ann	1029956	Agent - Life	11/4/2021	6/30/2022
Active	Wells, James Ryan	813104	Agent - Health	4/20/2020
Active	Wells, James Ryan	813104	Agent - Life	4/20/2020
Active	Wethall, Andrew	812394	Agent - Life	3/23/2021
Active	Wise, Clifton Thomas	1228076	Agent - Health	3/7/2023
Active	Wise, Clifton Thomas	1228076	Agent - Life	3/7/2023
Inactive	Worley, Christopher	1131796	Agent - Life	10/20/2021	10/1/2023
Active	Worm, Thasha Chantelle	1288977	Agent - Health	11/16/2023
Active	Worm, Thasha Chantelle	1288977	Agent - Life	11/16/2023