DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	National Senior Insurance Services Inc	DOIID	1311096	NAIC NPN	20770301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/7/2026		3/31/2027
Active	Non Resident	Agent	Life	11/16/2023		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
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	12/4/2023	12/19/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/13/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	1/13/2026
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/24/2026
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	12/21/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/4/2023	12/19/2025
Active	Emphesys Insurance Company	300598	Agent - Health	3/27/2026
Active	Golden Rule Insurance Company	301943	Agent - Health	4/17/2026
Active	Golden Rule Insurance Company	301943	Agent - Life	4/17/2026
Active	SilverScript Insurance Company	663526	Agent - Health	1/13/2026
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/10/2026
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/10/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dziewit, David A	803041	Agent - Health	1/7/2026
Active	Karam, Jeffrey	1109179	Agent - Life	11/16/2023