DEPARTMENT OF INSURANCE
Affiliations
NameCasey, Madison DOIID1197859NAIC NPN20294700
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/16/2022 7/31/2026
ActiveResidentAgentHealth4/21/2022 7/31/2026
* 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
Agent05/15/202607/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/16/202312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health2/16/202312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life2/16/202312/16/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveThe Underwriters Group, Inc674720Agent - Health3/6/202312/16/2024
InactiveThe Underwriters Group, Inc674720Agent - Life3/6/202312/16/2024

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