DEPARTMENT OF INSURANCE

Affiliations

Name	Aptia Insurance Services Group LLC	DOIID	1283785	NAIC NPN	20768991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	8/30/2023	3/31/2027
Active	Non Resident	Agent	Life	7/5/2023	3/31/2027
Active	Non Resident	Agent	Health	7/5/2023	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
Administrator	01/15/2025	03/31/2025	03/11/2025	03/11/2025	Yes
Agent	01/15/2025	03/31/2025	01/10/2025	01/10/2025	Yes

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	3/4/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/4/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	3/4/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/17/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/17/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/17/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/17/2024	4/15/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/4/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/4/2024
Active	Cigna National Health Insurance Company	300235	Agent - Health	8/30/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/17/2024
Active	EPIC Life Insurance Company	646171	Agent - Health	2/16/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/15/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/3/2024
Active	Humana Insurance Company	301104	Agent - Health	10/21/2024
Active	Loyal American Life Insurance Company	301172	Agent - Health	3/5/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	11/19/2024
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	3/4/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/4/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/4/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/1/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ashburn, Cecilia	1050516	Agent - Health	3/25/2024	11/14/2024
Inactive	Ashburn, Cecilia	1050516	Agent - Life	3/25/2024	11/14/2024
Inactive	Ashworth, Jamie	893386	Agent - Health	3/25/2024	9/30/2024
Inactive	Ashworth, Jamie	893386	Agent - Life	3/25/2024	9/30/2024
Denied	Babalola, Abieyuwa	1128572	Agent - Health
Denied	Babalola, Abieyuwa	1128572	Agent - Life
Active	Barbosa, Carol	969347	Agent - Health	3/22/2024
Active	Barbosa, Carol	969347	Agent - Life	3/22/2024
Denied	Bennett-Allen, Charlotte	798726	Agent - Health
Denied	Bennett-Allen, Charlotte	798726	Agent - Life
Denied	Berger, Robin	847646	Agent - Health
Denied	Berger, Robin	847646	Agent - Life
Inactive	Bishop, Melinda	1015749	Agent - Health	3/22/2024	10/10/2024
Inactive	Bishop, Melinda	1015749	Agent - Life	3/22/2024	10/10/2024
Inactive	Brewer, Jonathon	954990	Agent - Health	3/25/2024	5/3/2024
Inactive	Brewer, Jonathon	954990	Agent - Life	3/25/2024	5/3/2024
Pending Replacement	Brito, Sandra	966494	Agent - Health	3/25/2024
Pending Replacement	Brito, Sandra	966494	Agent - Life	3/25/2024
Active	Brocklehurst, Richard A	713348	Agent - Health	3/7/2024
Active	Brocklehurst, Richard A	713348	Agent - Life	3/7/2024
Active	Brunelle, Cheryl	886861	Agent - Health	3/22/2024
Active	Brunelle, Cheryl	886861	Agent - Life	3/22/2024
Inactive	Bula-Bula, Dhanny	1053996	Agent - Health	3/7/2024	10/10/2024
Denied	Bula-Bula, Dhanny	1053996	Agent - Life
Denied	Burgess, Amy	824565	Agent - Health
Denied	Burgess, Amy	824565	Agent - Life
Active	Bushby, Keirstin	1157759	Agent - Health	3/7/2024
Inactive	Bushby, Keirstin	1157759	Agent - Life	3/7/2024	4/15/2025
Inactive	Butler, Susanna	968580	Agent - Health	3/25/2024	10/31/2024
Inactive	Butler, Susanna	968580	Agent - Life	3/25/2024	10/7/2024
Active	Caffey, Alan	1154756	Agent - Health	3/22/2024
Active	Caffey, Alan	1154756	Agent - Life	3/22/2024
Inactive	Campbell, Leslie	1241118	Agent - Health	3/22/2024	10/10/2024
Denied	Campbell, Leslie	1241118	Agent - Life
Inactive	Capuzzo, Paul	1009282	Agent - Health	3/25/2024	3/31/2024
Inactive	Capuzzo, Paul	1009282	Agent - Life	3/25/2024	3/31/2024
Active	Carley, John	1049672	Agent - Health	3/7/2024
Inactive	Carley, John	1049672	Agent - Life	3/7/2024	4/15/2025
Active	Carr, Lindsay	1221625	Agent - Health	3/7/2024
Active	Carson, Tara	1003544	Agent - Health	3/7/2024
Active	Carson, Tara	1003544	Agent - Life	3/7/2024
Active	Carter, Glenn	973149	Agent - Health	3/7/2024
Active	Carter, Glenn	973149	Agent - Life	3/7/2024
Active	Casas, Blanca	972653	Agent - Health	3/22/2024
Active	Casas, Blanca	972653	Agent - Life	3/22/2024
Active	Cook, Robert	970693	Agent - Health	3/22/2024
Active	Cook, Robert	970693	Agent - Life	3/22/2024
Denied	Coyne, Deborah	1133910	Agent - Health
Denied	Coyne, Deborah	1133910	Agent - Life
Active	Crooks, Randy	889193	Agent - Health	3/22/2024
Active	Crooks, Randy	889193	Agent - Life	3/22/2024
Active	Culpepper, George	1016115	Agent - Health	3/7/2024
Inactive	Culpepper, George	1016115	Agent - Life	3/7/2024	4/15/2025
Active	Day, Cassandra	1285144	Agent - Health	3/7/2024
Denied	Diaz Velez, Dorcas	1193201	Agent - Health
Denied	Diaz Velez, Dorcas	1193201	Agent - Life
Denied	Dodge, Joanne	878472	Agent - Health
Active	Dunkin, Donna	975311	Agent - Health	3/25/2024
Active	Dunkin, Donna	975311	Agent - Life	3/25/2024
Inactive	Duplessy, Nikita	905427	Agent - Health	3/25/2024	10/31/2024
Inactive	Duplessy, Nikita	905427	Agent - Life	3/25/2024	10/7/2024
Active	Edouard, Carma	886530	Agent - Health	3/25/2024
Active	Edouard, Carma	886530	Agent - Life	3/25/2024
Active	Eilander, Jennifer	867896	Agent - Health	3/25/2024
Active	Eilander, Jennifer	867896	Agent - Life	3/25/2024
Active	Elliott, Jennifer	1149081	Agent - Health	3/7/2024
Denied	Elliott, Jennifer	1149081	Agent - Life
Inactive	Emsheimer, Mary	911832	Agent - Health	3/22/2024	10/10/2024
Inactive	Emsheimer, Mary	911832	Agent - Life	3/22/2024	10/10/2024
Active	Fagan, Alan	972620	Agent - Health	3/7/2024
Active	Fagan, Alan	972620	Agent - Life	3/7/2024
Active	Feeney, John	976202	Agent - Health	3/22/2024
Active	Feeney, John	976202	Agent - Life	3/22/2024
Active	Fisher, Leigh	1225966	Agent - Health	3/7/2024
Inactive	Fisher, Leigh	1225966	Agent - Life	3/7/2024	4/15/2025
Inactive	Fonseca, Joseph	800651	Agent - Health	3/7/2024	3/4/2025
Inactive	Fonseca, Joseph	800651	Agent - Life	3/7/2024	3/4/2025
Active	Garcia, Jhossy	964864	Agent - Health	3/22/2024
Active	Garcia, Jhossy	964864	Agent - Life	3/22/2024
Active	Gaydos, Michael	961119	Agent - Health	3/7/2024
Active	Gaydos, Michael	961119	Agent - Life	3/7/2024
Pending Replacement	Genus, Patricia	855784	Agent - Health	3/7/2024
Denied	Genus, Patricia	855784	Agent - Life
Active	Gibbons, Catherine	973746	Agent - Health	3/7/2024
Active	Gibbons, Catherine	973746	Agent - Life	3/7/2024
Inactive	Gilmore, Tona	855252	Agent - Health	3/25/2024	6/30/2024
Inactive	Gilmore, Tona	855252	Agent - Life	3/25/2024	6/30/2024
Active	Giovino, Nancy	1151520	Agent - Health	3/7/2024
Denied	Giovino, Nancy	1151520	Agent - Life
Denied	Goodman, Christian	1199577	Agent - Health
Denied	Graybill, Steven	818091	Agent - Health
Denied	Graybill, Steven	818091	Agent - Life
Active	Groves, Bernice	971886	Agent - Health	3/22/2024
Active	Groves, Bernice	971886	Agent - Life	3/22/2024
Inactive	Guerra-Lau, Joshua	970247	Agent - Health	3/25/2024	10/31/2024
Inactive	Guerra-Lau, Joshua	970247	Agent - Life	3/25/2024	10/7/2024
Inactive	Guillen, Jose	868855	Agent - Health	3/25/2024	9/30/2024
Inactive	Guillen, Jose	868855	Agent - Life	3/25/2024	9/30/2024
Active	Hall, Teresa	889158	Agent - Health	3/22/2024
Active	Hall, Teresa	889158	Agent - Life	3/22/2024
Denied	Hamlet, Heather	892609	Agent - Health
Denied	Hamlet, Heather	892609	Agent - Life
Active	Heger, Linda	925233	Agent - Health	3/22/2024
Active	Heger, Linda	925233	Agent - Life	3/22/2024
Active	Herard, Yves	896443	Agent - Health	3/22/2024
Denied	Herard, Yves	896443	Agent - Life
Active	Hernandez, Walter	1292345	Agent - Health	3/7/2024
Inactive	Hernandez, Walter	1292345	Agent - Life	3/7/2024	4/15/2025
Active	Herrick, Megan	887476	Agent - Health	3/25/2024
Active	Herrick, Megan	887476	Agent - Life	3/25/2024
Denied	Hersom, Sonja	831861	Agent - Health
Denied	Hersom, Sonja	831861	Agent - Life
Inactive	Hicks, Phyliss	1011866	Agent - Health	3/22/2024	10/10/2024
Inactive	Hicks, Phyliss	1011866	Agent - Life	3/22/2024	10/10/2024
Active	Hurtado, Yesenia	887052	Agent - Health	3/22/2024
Active	Hurtado, Yesenia	887052	Agent - Life	3/22/2024
Active	Hymen, Jennifer	975191	Agent - Health	3/7/2024
Inactive	Hymen, Jennifer	975191	Agent - Life	3/7/2024	4/15/2025
Active	Igoe, Francis Daniel	926148	Agent - Health	3/22/2024
Active	Igoe, Francis Daniel	926148	Agent - Life	3/22/2024
Denied	Jackson, Clydell	1035102	Agent - Health
Denied	Jackson, Clydell	1035102	Agent - Life
Denied	Jenkins, Kristilyn	1288306	Agent - Health
Denied	Jenkins, Kristilyn	1288306	Agent - Life
Denied	Johnson, Richard W	639046	Agent - Health
Denied	Johnson, Richard W	639046	Agent - Life
Active	Kazmi, Sadia	926158	Agent - Health	3/22/2024
Active	Kazmi, Sadia	926158	Agent - Life	3/22/2024
Denied	Klempay, Amy	1195132	Agent - Health
Denied	Klempay, Amy	1195132	Agent - Life
Inactive	Kreger, Helene	1005507	Agent - Health	3/7/2024	5/31/2024
Inactive	Kreger, Helene	1005507	Agent - Life	3/7/2024	5/31/2024
Active	Laughlin, Amy	895376	Agent - Health	3/22/2024
Active	Laughlin, Amy	895376	Agent - Life	3/22/2024
Active	Leclair, Kimberly	973798	Agent - Health	3/22/2024
Active	Leclair, Kimberly	973798	Agent - Life	3/22/2024
Denied	Lemon, Allison	914076	Agent - Health
Denied	Lemon, Allison	914076	Agent - Life
Active	Limberg, Gayle	889194	Agent - Health	3/22/2024
Active	Limberg, Gayle	889194	Agent - Life	3/22/2024
Active	Ling, Richard	885735	Agent - Health	3/22/2024
Active	Ling, Richard	885735	Agent - Life	3/22/2024
Denied	Lopez, Mabel	891644	Agent - Health
Denied	Lopez, Mabel	891644	Agent - Life
Active	Lopez, Tiranica	1153266	Agent - Health	3/7/2024
Inactive	Lopez, Tiranica	1153266	Agent - Life	3/7/2024	4/15/2025
Inactive	Loving, Kelsey	975009	Agent - Health	3/25/2024	2/28/2025
Inactive	Loving, Kelsey	975009	Agent - Life	3/25/2024	10/7/2024
Active	Lowe, Amanda	970146	Agent - Health	3/7/2024
Active	Lowe, Amanda	970146	Agent - Life	3/7/2024
Denied	Lueder, Adam	1157954	Agent - Health
Denied	Lueder, Adam	1157954	Agent - Life
Active	Lukala, Eugine	980076	Agent - Health	3/22/2024
Active	Lukala, Eugine	980076	Agent - Life	3/22/2024
Inactive	Lynn, Timothy	864744	Agent - Health	3/25/2024	1/13/2025
Inactive	Lynn, Timothy	864744	Agent - Life	3/25/2024	1/13/2025
Inactive	Madlock, Kim	973876	Agent - Health	3/7/2024	11/22/2024
Inactive	Madlock, Kim	973876	Agent - Life	3/7/2024	11/22/2024
Inactive	Mahoney, Elizabeth	932098	Agent - Health	3/25/2024	12/31/2024
Inactive	Mahoney, Elizabeth	932098	Agent - Life	3/25/2024	10/7/2024
Denied	Maikels, Christopher	1187427	Agent - Health
Denied	Maikels, Christopher	1187427	Agent - Life
Active	Marquardt, Jason	803614	Agent - Health	3/7/2024
Active	Martinez, Alan	831863	Agent - Health	3/22/2024
Active	Martinez, Alan	831863	Agent - Life	3/22/2024
Active	Martinez, Yvonne	1288438	Agent - Health	3/22/2024
Denied	Martinez, Yvonne	1288438	Agent - Life
Denied	McKone, Ashley	970266	Agent - Health
Denied	McKone, Ashley	970266	Agent - Life
Denied	Mckee, Sharon	1230857	Agent - Health
Denied	Mckee, Sharon	1230857	Agent - Life
Active	Melone, Elena	1145927	Agent - Health	3/7/2024
Inactive	Melone, Elena	1145927	Agent - Life	3/7/2024	4/15/2025
Inactive	Meyer, Destiny	887302	Agent - Health	3/25/2024	10/31/2024
Inactive	Meyer, Destiny	887302	Agent - Life	3/25/2024	10/31/2024
Active	Millage, Kate	887069	Administrator - Not Applicable	2/20/2025
Active	Millage, Kate	887069	Agent - Health	2/29/2024
Active	Millage, Kate	887069	Agent - Life	2/29/2024
Active	Miller, Mariah	1151523	Agent - Health	3/7/2024
Inactive	Miller, Mariah	1151523	Agent - Life	3/7/2024	4/15/2025
Inactive	Moore, Michael	678209	Agent - Health	3/25/2024	10/10/2024
Denied	Moore, Michael	678209	Agent - Life
Inactive	Neuhauser, Britney	1006483	Agent - Health	3/25/2024	5/31/2024
Inactive	Neuhauser, Britney	1006483	Agent - Life	3/25/2024	5/31/2024
Active	Norris, Pablo	1221221	Agent - Health	3/7/2024
Inactive	Norris, Pablo	1221221	Agent - Life	3/7/2024	4/15/2025
Denied	Nuzzolilo, Jeffrey	881449	Agent - Health
Denied	Nuzzolilo, Jeffrey	881449	Agent - Life
Denied	Pelczarski, Brian	857958	Agent - Health
Denied	Pelczarski, Brian	857958	Agent - Life
Active	Pereira, Adilia	972464	Agent - Health	3/22/2024
Active	Pereira, Adilia	972464	Agent - Life	3/22/2024
Active	Pohl, Marlo	934115	Agent - Health	3/7/2024
Active	Pohl, Marlo	934115	Agent - Life	3/7/2024
Active	Preston, Julieann	1003582	Agent - Health	3/7/2024
Active	Preston, Julieann	1003582	Agent - Life	3/7/2024
Active	Price, Tina	793761	Agent - Health	3/7/2024
Inactive	Price, Tina	793761	Agent - Life	3/7/2024	4/15/2025
Active	Prom, Bailee	1092073	Agent - Health	3/25/2024
Denied	Prom, Bailee	1092073	Agent - Life
Active	Rabago, Carlos	975443	Agent - Health	3/22/2024
Active	Rabago, Carlos	975443	Agent - Life	3/22/2024
Inactive	Reed, Emily	828190	Agent - Health	3/25/2024	6/30/2024
Inactive	Reed, Emily	828190	Agent - Life	3/25/2024	6/30/2024
Inactive	Reese, Adam	686254	Agent - Health	3/25/2024	1/13/2025
Inactive	Reese, Adam	686254	Agent - Life	3/25/2024	1/13/2025
Active	Rice, Denise	1146628	Agent - Health	3/7/2024
Denied	Rice, Denise	1146628	Agent - Life
Active	Rifley, Bobbi	889161	Agent - Health	3/25/2024
Active	Rifley, Bobbi	889161	Agent - Life	3/25/2024
Inactive	Robbins, Molly	1001125	Agent - Health	3/25/2024	5/31/2024
Inactive	Robbins, Molly	1001125	Agent - Life	3/25/2024	5/31/2024
Denied	Roberts, Kathie Ann	660844	Agent - Health
Pending Replacement	Roberts, Kathie Ann	660844	Agent - Life	3/22/2024
Denied	Robertson, Julie	898298	Agent - Health
Denied	Robertson, Julie	898298	Agent - Life
Denied	Romero, Katherine	995354	Agent - Health
Denied	Romero, Katherine	995354	Agent - Life
Active	Rounds, Nikol	895500	Agent - Health	3/22/2024
Active	Rounds, Nikol	895500	Agent - Life	3/22/2024
Inactive	Sanchez, Sheila	892574	Agent - Health	3/25/2024	7/31/2024
Inactive	Sanchez, Sheila	892574	Agent - Life	3/25/2024	7/31/2024
Active	Santiago, Mariah	1220772	Agent - Health	3/7/2024
Inactive	Savett, Scott Ross	1154523	Administrator - Not Applicable	8/30/2023	2/20/2025
Inactive	Savett, Scott Ross	1154523	Agent - Health	7/5/2023	12/13/2024
Inactive	Savett, Scott Ross	1154523	Agent - Life	7/5/2023	12/13/2024
Active	Sietmann, Shannon	1090650	Agent - Health	3/7/2024
Denied	Sietmann, Shannon	1090650	Agent - Life
Active	Silverman, Scott	1049254	Agent - Health	3/7/2024
Inactive	Silverman, Scott	1049254	Agent - Life	3/7/2024	4/15/2025
Active	Skelly, Richard	1005042	Agent - Health	3/22/2024
Active	Skelly, Richard	1005042	Agent - Life	3/22/2024
Denied	Slack, Brian	939805	Agent - Health
Denied	Slack, Brian	939805	Agent - Life
Active	Solis, Emma	1049131	Agent - Health	3/7/2024
Inactive	Solis, Emma	1049131	Agent - Life	3/7/2024	4/15/2025
Active	Spencer, Robert	1017315	Agent - Health	3/25/2024
Inactive	Spencer, Robert	1017315	Agent - Life	3/25/2024	4/15/2025
Active	Steward, Kelly	890788	Agent - Health	3/25/2024
Active	Steward, Kelly	890788	Agent - Life	3/25/2024
Inactive	Stigleman, Betty	890644	Agent - Health	3/22/2024	9/30/2024
Inactive	Stigleman, Betty	890644	Agent - Life	3/22/2024	9/30/2024
Active	Thomas, Teresa	1050031	Agent - Health	3/7/2024
Inactive	Thomas, Teresa	1050031	Agent - Life	3/7/2024	4/15/2025
Active	Threats, Hope	1155192	Agent - Health	3/7/2024
Denied	Threats, Hope	1155192	Agent - Life
Inactive	Trejo Labra, Yoali	925368	Agent - Health	3/25/2024	8/31/2024
Inactive	Trejo Labra, Yoali	925368	Agent - Life	3/25/2024	8/31/2024
Active	Truesdell, Stefany	965758	Agent - Health	3/7/2024
Active	Truesdell, Stefany	965758	Agent - Life	3/7/2024
Inactive	Tucker, Shirley	895496	Agent - Health	3/25/2024	4/2/2025
Inactive	Tucker, Shirley	895496	Agent - Life	3/25/2024	4/2/2025
Inactive	Valencia, Jorge	1003670	Agent - Health	3/25/2024	12/31/2024
Inactive	Valencia, Jorge	1003670	Agent - Life	3/25/2024	12/31/2024
Active	Valentin, Marie	886371	Agent - Health	3/25/2024
Active	Valentin, Marie	886371	Agent - Life	3/25/2024
Active	Warner, Paul	1151618	Agent - Health	3/7/2024
Denied	Warner, Paul	1151618	Agent - Life
Inactive	Weiss, Lynnann	970949	Agent - Health	3/25/2024	1/31/2025
Inactive	Weiss, Lynnann	970949	Agent - Life	3/25/2024	1/31/2025
Active	Weltha, Brenda	1005549	Agent - Health	3/22/2024
Active	Weltha, Brenda	1005549	Agent - Life	3/22/2024
Inactive	White, Chauntia	893742	Agent - Health	3/25/2024	8/31/2024
Inactive	White, Chauntia	893742	Agent - Life	3/25/2024	8/31/2024
Active	Williams, Adreina	970715	Agent - Health	3/7/2024
Active	Williams, Adreina	970715	Agent - Life	3/7/2024
Active	Williams, David	974501	Agent - Health	3/7/2024
Active	Williams, David	974501	Agent - Life	3/7/2024
Active	Williams, Marc	1297006	Agent - Health	3/7/2024
Denied	Williams, Shantise	969809	Agent - Health
Denied	Williams, Shantise	969809	Agent - Life
Inactive	Worthington, Prince	1220225	Agent - Health	3/7/2024	3/17/2025
Denied	Worthington, Prince	1220225	Agent - Life
Active	Yarbrough, Jamia	1218737	Agent - Health	3/7/2024
Inactive	Yarbrough, Jamia	1218737	Agent - Life	3/7/2024	4/15/2025
Pending Replacement	Yatsuhashi, Tonette	895538	Agent - Health	3/25/2024
Pending Replacement	Yatsuhashi, Tonette	895538	Agent - Life	3/25/2024
Active	Zelaya, Dennys	932116	Agent - Health	3/22/2024
Active	Zelaya, Dennys	932116	Agent - Life	3/22/2024
Denied	Zelaya, Henry	1156716	Agent - Health
Denied	Zelaya, Henry	1156716	Agent - Life
Pending Replacement	Zide, Paul Howard	844497	Agent - Health	3/22/2024
Pending Replacement	Zide, Paul Howard	844497	Agent - Life	3/22/2024