DEPARTMENT OF INSURANCE

Affiliations

Name	Pinecrest Group	DOIID	1273424	NAIC NPN	20584685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/7/2023	3/31/2027
Active	Non Resident	Agent	Health	5/9/2023	3/31/2027
Active	Non Resident	Agent	Property	7/1/2024	3/31/2027
Active	Non Resident	Agent	Casualty	7/1/2024	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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/15/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/18/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	2/18/2026
Active	All Savers Insurance Company	301940	Agent - Health	12/24/2024
Active	All Savers Insurance Company	301940	Agent - Life	12/24/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/1/2024	2/12/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/1/2024	2/12/2025
Active	American Heritage Life Insurance Company	300272	Agent - Health	7/8/2024
Active	American Heritage Life Insurance Company	300272	Agent - Life	7/8/2024
Active	American Interstate Insurance Company	301092	Agent - Casualty	8/4/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/11/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/11/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/11/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/11/2023	4/15/2025
Active	Continental American Insurance Company	301700	Agent - Health	5/13/2024
Active	Continental American Insurance Company	301700	Agent - Life	5/13/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/12/2026
Active	Federal Life Insurance Company	300945	Agent - Health	3/24/2026
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	1/16/2026
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	1/16/2026
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/22/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/22/2024
Active	Humana Insurance Company	301104	Agent - Health	2/12/2026
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/12/2026
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/12/2026
Active	Insurance Company of the West	301520	Agent - Casualty	4/28/2025
Active	Insurance Company of the West	301520	Agent - Property	4/28/2025
Active	National Health Insurance Company	300554	Agent - Health	5/11/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/26/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/26/2024
Active	Nationwide Life and Benefits Insurance Company	301045	Agent - Health	9/25/2025
Active	Nationwide Life and Benefits Insurance Company	301045	Agent - Life	9/25/2025
Active	Principal Life Insurance Company	300129	Agent - Health	4/15/2026
Active	Principal Life Insurance Company	300129	Agent - Life	4/15/2026
Active	Silver Oak Casualty, Inc.	517101	Agent - Casualty	8/4/2025
Active	SilverScript Insurance Company	663526	Agent - Health	2/18/2026
Active	Trustmark Life Insurance Company	301286	Agent - Health	12/28/2023
Active	Trustmark Life Insurance Company	301286	Agent - Life	12/28/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/24/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/24/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/24/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/24/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/5/2026
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/5/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Goldstein, Anat	1256213	Agent - Health	5/9/2023
Active	Goldstein, Anat	1256213	Agent - Life	9/7/2023
Active	Goldstein, Lior Chaoul	1212640	Agent - Health	12/2/2024
Active	Goldstein, Lior Chaoul	1212640	Agent - Life	12/2/2024
Denied	Harris, Yaakov	1358762	Agent - Casualty
Denied	Harris, Yaakov	1358762	Agent - Property
Active	Rosson, Steven	1347636	Agent - Casualty	7/1/2024
Active	Rosson, Steven	1347636	Agent - Property	7/1/2024