DEPARTMENT OF INSURANCE

Affiliations

Name	Stanley, Jeffrey R	DOIID	303265	NAIC NPN	228801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/13/2000		9/30/2026
Active	Non Resident	Agent	Health	1/13/2000		9/30/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	3/13/2000	3/1/2001
* 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	07/15/2024	09/30/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/20/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/20/2014
Active	American General Life Insurance Company	301585	Agent - Health	11/16/2016
Active	American General Life Insurance Company	301585	Agent - Life	11/16/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/30/2000	7/2/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	11/30/2000	7/2/2002
Active	CICA Life Insurance Company of America	600487	Agent - Life	11/30/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	10/30/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/24/2014	6/15/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/2/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/2/2008	6/26/2013
Active	Companion Life Insurance Company	300191	Agent - Health	12/5/2017
Active	Companion Life Insurance Company	300191	Agent - Life	12/5/2017
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/15/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/24/2014	6/15/2018
Active	Federal Insurance Company	301144	Agent - Health	11/4/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	2/28/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/6/2003	3/4/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/6/2003	3/4/2005
Active	Gerber Life Insurance Company	300529	Agent - Health	4/18/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	4/18/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	10/16/2014
Active	Golden Rule Insurance Company	301943	Agent - Life	10/16/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	4/16/2010	12/26/2012
Inactive	Great Western Insurance Company	501693	Agent - Life	3/4/2019	12/21/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/22/2015	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/24/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/24/2014	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/13/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/2014	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	6/24/2014	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/24/2014	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/24/2014	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/22/2015	6/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/5/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/5/2012	12/19/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/14/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/14/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2010
Inactive	KSKJ Life	775663	Agent - Life	7/8/2015	3/8/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/24/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/24/2014	10/22/2015
Active	Kansas City Life Insurance Company	301444	Agent - Health	2/22/2005
Active	Kansas City Life Insurance Company	301444	Agent - Life	2/22/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/8/2007	11/25/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/8/2007	11/25/2009
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/20/2021	9/11/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/18/2000	12/26/2012
Active	National Health Insurance Company	300554	Agent - Health	9/10/2017
Active	National Western Life Insurance Company	301515	Agent - Life	10/16/2018
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	7/29/2020	12/28/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	7/6/2012	6/24/2013
Inactive	Order of United Commercial Travelers of America	301723	Agent - Health	11/18/2014	12/16/2016
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	11/18/2014	12/16/2016
Inactive	Physicians Life Insurance Company	300924	Agent - Life	8/29/2003	12/12/2006
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	8/29/2003	12/14/2006
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/21/2002
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/27/2013	7/12/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/27/2013	7/12/2018
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	2/14/2018	7/5/2019
Inactive	Senior Life Insurance Company	558267	Agent - Life	3/6/2020	3/16/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/17/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/18/2001	12/29/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/18/2001	12/29/2004
Inactive	Time Insurance Company	300683	Agent - Health	10/15/2014	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/15/2014	11/22/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	4/8/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/8/2020
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/21/2002
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/11/2016	12/12/2017
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/29/2003	12/19/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	7/20/2004	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/13/2000	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/13/2000	12/26/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/30/2019	11/30/2020
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/29/2021
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/1/2006	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013
Active	Gateway Ins Marketing Inc	613567	Agent - Life	11/15/2005
Active	Gateway Ins Marketing Inc	613567	Agent - Health	11/15/2005