DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	American Seniors, LLC	DOIID	1115817	NAIC NPN	19760906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	1/7/2021		3/31/2027
Active	Resident	Agent	Life	1/7/2021		3/31/2027
* 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	02/24/2025	02/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/14/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	12/14/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/14/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	9/27/2021	12/7/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/14/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/14/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	3/8/2021	6/7/2022
Active	LifeShield National Insurance Company	737111	Agent - Health	4/29/2024
Active	LifeShield National Insurance Company	737111	Agent - Life	4/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fuller, Brandi	782761	Agent - Health	1/7/2021
Active	Fuller, Brandi	782761	Agent - Life	1/7/2021