DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Agent Support Services LLC	DOIID	1087785	NAIC NPN	964513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/28/2024		3/31/2026
Active	Non Resident	Agent	Health	12/28/2024		3/31/2026
* 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
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Health	2/15/2023	11/1/2024
Inactive	Guaranty Income Life Insurance Company	552451	Agent - Life	2/15/2023	11/1/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/20/2021	11/1/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/20/2021	11/1/2024
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	6/30/2020	11/1/2024
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/30/2020	11/1/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022	11/1/2024
Active	Pruco Life Insurance Company	300954	Agent - Life	2/7/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	1/27/2021	8/31/2024
Inactive	Graham, Mark Burnside	638756	Agent - Life	1/27/2021	8/31/2024
Inactive	Kaufman, Samuel J	536693	Agent - Health	6/30/2020	1/27/2021
Inactive	Kaufman, Samuel J	536693	Agent - Life	6/30/2020	1/27/2021
Active	Scheiner, Jay L	1246386	Agent - Health	12/28/2024
Active	Scheiner, Jay L	1246386	Agent - Life	12/28/2024