DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prime Direct Insurance LLC	DOIID	1265491	NAIC NPN	20631144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/29/2023		3/31/2027
Active	Non Resident	Agent	Health	2/20/2025		3/31/2027
* 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
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/25/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	2/25/2025
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	5/23/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/23/2025
Inactive	Great Western Insurance Company	501693	Agent - Life	6/23/2023	4/22/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/16/2023	4/14/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/4/2023	7/21/2023
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	8/17/2023	9/20/2024
Active	SilverScript Insurance Company	663526	Agent - Health	2/25/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/31/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/23/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/23/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burch, Herlin	1276536	Agent - Health	2/20/2025
Active	St Pierre, Colin	1228078	Agent - Life	3/29/2023