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DEPARTMENT OF INSURANCE
Affiliations
Name
Burgess, Stanton Elwood
DOIID
310814
NAIC NPN
1642071
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
1/17/2020
10/31/2025
Active
Resident
Agent
Health
1/17/2020
10/31/2025
Inactive
Resident
Agent
General Lines
2/27/1984
2/9/2000
Inactive
Resident
Agent
Prepaid Dental Plan
12/18/2000
3/1/2001
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
11/1/2013
Inactive
Resident
Agent
Health Maintenance Organization
5/9/1991
3/31/1997
AFFIDAVIT ON FILE
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
08/15/2025
10/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Accendo Insurance Company
300312
Agent - Life
6/10/2020
Inactive
Aetna Health Inc.
300694
Agent - Health
6/26/2002
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
11/1/2013
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
10/30/2018
10/31/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Health
12/20/1999
11/1/2013
Inactive
Aetna Life Insurance Company
301140
Agent - Life
12/20/1999
11/1/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
10/8/1997
11/21/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
10/8/1997
11/21/2007
Inactive
American Continental Insurance Company
643130
Agent - Health
5/15/2009
11/1/2013
Inactive
American Continental Insurance Company
643130
Agent - Life
5/15/2009
11/1/2013
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
4/13/1995
3/20/1998
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
4/13/1995
3/20/1998
Inactive
American General Life Insurance Company
301585
Agent - Health
12/30/2015
12/19/2019
Inactive
American General Life Insurance Company
301585
Agent - Life
12/30/2015
12/19/2019
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
6/1/2004
11/1/2013
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
2/17/2005
9/1/2011
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
2/17/2005
9/1/2011
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
12/1/1987
3/31/1997
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
12/1/1987
3/31/1997
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
11/18/2020
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
5/9/1991
3/31/1997
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/12/2021
Active
Anthem Life Insurance Company
301209
Agent - Health
11/18/2020
Active
Anthem Life Insurance Company
301209
Agent - Life
11/18/2020
Inactive
Assured Life Association
300353
Agent - Health
8/10/2020
1/14/2022
Inactive
Assurity Life Insurance Company
301099
Agent - Health
8/19/2003
12/15/2006
Inactive
Assurity Life Insurance Company
301099
Agent - Life
8/19/2003
12/15/2006
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Health
5/20/2020
12/13/2023
Inactive
Bankers Fidelity Assurance Company
554627
Agent - Life
5/11/2020
12/13/2023
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Health
5/20/2020
12/13/2023
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Life
5/20/2020
12/13/2023
Inactive
Banner Life Insurance Company
301696
Agent - Life
8/16/2012
11/1/2013
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/21/1994
2/10/2003
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/21/1994
2/10/2003
Inactive
CHA HMO, Inc.
300662
Agent - Health
1/27/2004
12/10/2012
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
9/20/2017
12/21/2018
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
10/3/1995
3/31/1997
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
10/3/1995
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
4/1/1999
12/18/2000
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
4/1/1999
12/18/2000
Inactive
Cincinnati Insurance Company
301298
Agent - General Lines
6/23/1995
2/9/2000
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Health
7/12/1995
2/9/2000
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Life
7/12/1995
2/9/2000
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
3/12/2002
12/9/2004
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
5/12/1992
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
5/12/1992
3/31/1997
Inactive
Combined Insurance Company of America
301472
Agent - Health
2/3/2014
12/2/2019
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
6/5/1997
12/30/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
6/5/1997
12/30/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/21/2001
12/30/2005
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/30/2014
12/8/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
10/27/2020
12/13/2022
Inactive
Conseco Health Insurance Company
301725
Agent - Health
1/14/2005
8/7/2006
Inactive
Conseco Health Insurance Company
301725
Agent - Life
1/14/2005
8/7/2006
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
10/5/1993
3/9/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
10/5/1993
3/9/1998
Inactive
Continental Casualty Company
301019
Agent - Health
3/24/1997
11/29/2004
Inactive
Continental General Insurance Company
300691
Agent - Health
2/25/2000
11/18/2002
Inactive
Continental General Insurance Company
300691
Agent - Life
2/25/2000
11/18/2002
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/6/2018
10/31/2019
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
2/22/2021
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
1/30/2014
12/8/2015
Inactive
Encova Life Insurance Company
301818
Agent - Health
12/9/1983
11/1/2013
Inactive
Encova Life Insurance Company
301818
Agent - Life
2/7/2020
1/1/2024
Inactive
Farmers Casualty Insurance Company
301616
Agent - General Lines
1/21/1986
3/31/1996
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - General Lines
1/21/1986
3/31/1996
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
6/14/2006
3/10/2009
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
4/1/1999
12/18/2000
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
4/1/1999
12/18/2000
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
9/13/1999
3/13/2003
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
9/13/1999
3/13/2003
Inactive
First Colony Life Insurance Company
301179
Agent - Life
11/17/1999
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
1/14/2000
12/18/2008
Inactive
Forethought Life Insurance Company
301407
Agent - Health
11/27/2013
11/5/2014
Inactive
Forethought Life Insurance Company
301407
Agent - Life
11/27/2013
11/5/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
6/4/2009
11/1/2013
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
6/4/2009
11/1/2013
Inactive
GPM Health and Life Insurance Company
927255
Agent - Health
11/18/2017
10/31/2019
Inactive
Genworth Life Insurance Company
300623
Agent - Health
9/10/1996
11/1/2013
Inactive
Genworth Life Insurance Company
300623
Agent - Life
9/10/1996
11/1/2013
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
7/9/2012
11/1/2013
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/22/2014
12/14/2016
Inactive
Gerber Life Insurance Company
300529
Agent - Health
2/2/2010
12/26/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Life
2/2/2010
12/26/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
9/12/1995
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
9/12/1995
3/31/1997
Inactive
Government Personnel Mutual Life Insurance Company
301862
Agent - Health
12/2/2014
12/22/2016
Inactive
Government Personnel Mutual Life Insurance Company
301862
Agent - Life
12/2/2014
12/22/2016
Inactive
Health Resources Inc.
301210
Agent - Health
3/1/2001
11/1/2013
Inactive
Health Resources Inc.
301210
Agent - Prepaid Dental Plan
12/18/2000
3/1/2001
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
1/30/2014
12/8/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
1/30/2014
8/11/2016
Inactive
Humana Insurance Company
301104
Agent - Health
1/30/2014
8/11/2016
Inactive
Humana Insurance Company
301104
Agent - Life
1/30/2014
8/11/2016
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/30/2014
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/30/2014
12/8/2015
Inactive
HumanaDental Insurance Company
301457
Agent - Health
7/12/2012
12/19/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
7/12/2012
12/19/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
1/15/2014
11/2/2016
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
1/15/2014
11/2/2016
Inactive
Independent Order of Foresters
300743
Agent - Life
3/15/2011
11/1/2013
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/13/2003
11/1/2013
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/25/2005
11/1/2013
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
11/30/2002
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
11/30/2002
7/2/2007
Inactive
John Alden Life Insurance Company
300573
Agent - Health
12/11/2000
11/7/2002
Inactive
John Alden Life Insurance Company
300573
Agent - Life
12/11/2000
11/7/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
10/31/2001
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
10/31/2001
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
4/11/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/19/2008
4/11/2012
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
10/31/2001
12/11/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
10/31/2001
12/11/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/30/2014
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/30/2014
10/22/2015
Inactive
Kansas City Life Insurance Company
301444
Agent - Health
10/10/2006
11/1/2013
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
10/10/2006
11/1/2013
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Health
2/11/2002
9/11/2003
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Life
2/11/2002
9/11/2003
Inactive
LifeSecure Insurance Company
301629
Agent - Health
8/20/1997
4/26/1999
Inactive
LifeSecure Insurance Company
301629
Agent - Life
8/20/1997
4/26/1999
Inactive
LifeUSA Insurance Company
300386
Agent - Health
11/30/1999
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
11/30/1999
8/2/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
11/27/2013
3/2/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/27/2013
3/2/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/31/2001
11/19/2013
Inactive
MICO Insurance Company
301664
Agent - General Lines
8/16/1989
9/2/1999
Inactive
Marquette National Life Insurance Company
300117
Agent - Health
11/29/2011
9/13/2012
Inactive
Marquette National Life Insurance Company
300117
Agent - Life
11/29/2011
9/13/2012
Inactive
MedAmerica Insurance Company
301568
Agent - Health
10/26/2004
3/6/2009
Inactive
Medico Corp Life Insurance Company
301777
Agent - Health
1/4/2017
4/16/2018
Inactive
Medico Corp Life Insurance Company
301777
Agent - Life
1/4/2017
4/16/2018
Inactive
Medico Life and Health Insurance Company
907406
Agent - Health
11/17/2017
12/26/2018
Inactive
Medico Life and Health Insurance Company
907406
Agent - Life
11/17/2017
12/26/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
4/11/1995
11/27/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
4/11/1995
11/27/2009
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
3/29/2000
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
3/29/2000
3/31/2001
Inactive
Motorists Mutual Insurance Company
300963
Agent - General Lines
2/27/1984
9/2/1999
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
2/19/2019
10/31/2019
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
8/11/1992
3/31/1997
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Life
8/11/1992
3/31/1997
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
5/24/2004
6/22/2005
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
5/24/2004
6/22/2005
Inactive
National Insurance Association
301386
Agent - General Lines
5/31/1994
12/9/1996
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/31/2009
6/5/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
5/18/2009
6/5/2012
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
7/9/2007
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
7/9/2007
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
7/9/2007
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
12/31/2009
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
8/6/2007
6/5/2012
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
9/25/2007
6/5/2012
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
3/10/1997
4/16/2002
Inactive
Omaha Insurance Company
751908
Agent - Health
5/9/2012
6/24/2013
Inactive
Order of United Commercial Travelers of America
301723
Agent - Life
11/17/1995
3/11/2002
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
5/24/2009
11/4/2011
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/31/2007
1/18/2011
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/31/2007
1/18/2011
Inactive
Pan-American Assurance Company
301533
Agent - Health
5/19/2004
3/6/2007
Inactive
Pan-American Assurance Company
301533
Agent - Life
5/19/2004
3/6/2007
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
5/19/2004
3/6/2007
Active
Pan-American Life Insurance Company
301530
Agent - Life
1/1/2024
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Health
7/23/1997
5/23/2005
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
7/23/1997
5/23/2005
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
1/26/1995
4/22/2003
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
1/26/1995
4/22/2003
Inactive
Principal Life Insurance Company
300129
Agent - Health
3/3/2004
12/3/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
3/3/2004
12/3/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
1/27/1997
3/2/2005
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/27/1997
3/2/2005
Inactive
Provident Indemnity Life Insurance Company
301218
Agent - Health
10/13/1994
12/7/1998
Inactive
Provident Indemnity Life Insurance Company
301218
Agent - Life
10/13/1994
12/7/1998
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/9/1996
11/1/2013
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
10/9/1996
11/1/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Health
10/13/2004
11/1/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Life
10/13/2004
11/1/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
10/13/2004
11/1/2013
Inactive
Prudential Insurance Company of America
300784
Agent - Health
8/25/1999
12/17/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Life
8/25/1999
12/17/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
12/30/1997
9/3/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
12/30/1997
9/3/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
10/5/2012
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Health
6/21/1989
7/30/2013
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
6/21/1989
7/30/2013
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
5/29/2009
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
5/29/2009
9/29/2012
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
6/11/1997
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
6/11/1997
10/1/2003
Inactive
Settlers Life Insurance Company
300189
Agent - Health
6/15/1994
8/22/1996
Inactive
Settlers Life Insurance Company
300189
Agent - Life
6/15/1994
8/22/1996
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
1/22/2020
12/16/2021
Inactive
Southwestern Life Insurance Company
301343
Agent - Health
10/29/1993
7/20/1998
Inactive
Southwestern Life Insurance Company
301343
Agent - Life
10/29/1993
7/20/1998
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
2/27/2002
1/4/2011
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
2/27/2002
1/4/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/31/2003
12/18/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/31/2003
12/18/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/31/2003
12/18/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/31/2003
12/18/2009
Inactive
Time Insurance Company
300683
Agent - Health
10/6/1987
12/4/2012
Inactive
Time Insurance Company
300683
Agent - Life
10/6/1987
12/4/2012
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2008
8/3/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2008
8/3/2011
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
10/14/2003
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
10/14/2003
10/1/2008
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
4/23/1998
9/4/2007
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
4/23/1998
9/4/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/10/1996
11/1/2013
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/10/1996
11/1/2013
Inactive
Union Central Life Insurance Company
300307
Agent - Health
3/17/2007
12/8/2010
Inactive
Union Central Life Insurance Company
300307
Agent - Life
3/17/2007
12/8/2010
Inactive
Union Central Life Insurance Company
300307
Agent - Variable Life and Variable Annuities
11/30/2005
2/9/2007
Inactive
Union Security Insurance Company
301844
Agent - Health
3/13/1990
11/12/2003
Inactive
Union Security Insurance Company
301844
Agent - Life
3/13/1990
11/12/2003
Inactive
United American Insurance Company
300910
Agent - Health
2/17/2006
12/20/2006
Inactive
United American Insurance Company
300910
Agent - Life
2/17/2006
12/20/2006
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
1/3/2005
7/13/2007
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
1/3/2005
7/13/2007
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
6/1/2004
11/28/2007
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
6/1/2004
11/28/2007
Inactive
United World Life Insurance Company
300532
Agent - Health
7/13/2020
6/22/2021
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/4/2019
10/31/2019
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/4/2019
10/31/2019
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
6/24/2003
6/24/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/24/2009
6/21/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
11/21/1994
11/21/2005
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
8/9/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
8/9/1995
3/31/1997
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
8/2/2011
6/21/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
6/8/2004
12/20/2006
Inactive
Washington National Insurance Company
300587
Agent - Health
10/20/1992
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
10/20/1992
3/31/1997
Inactive
West Coast Life Insurance Company
301607
Agent - Health
1/15/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
1/15/2009
11/16/2011
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/2/2004
12/4/2007
Inactive
Woodmen Accident and Life Company
300147
Agent - Health
8/21/1996
6/28/2000
Inactive
Woodmen Accident and Life Company
300147
Agent - Life
8/21/1996
6/28/2000
Inactive
300277
Agent - Health
8/19/1999
12/18/2006
Inactive
300277
Agent - Life
8/19/1999
12/18/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/24/1999
6/21/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/24/1999
6/21/2008
Inactive
D & B Ins Llc
705145
Agent - Life
7/19/2021
3/31/2023
Inactive
D & B Ins Llc
705145
Agent - Health
7/19/2021
3/31/2023
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
7/22/2004
11/8/2013
Inactive
Designated Agent Company Inc.
681257
Agent - Life
3/8/2014
10/31/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Health
3/8/2014
10/31/2019
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Medlink Inc
400721
Agent - Life
9/13/2010
11/1/2013
Inactive
Medlink Inc
400721
Agent - Health
9/13/2010
11/1/2013
Inactive
Planchoice Inc.
400482
Agent - Life
3/5/2003
11/1/2013
Inactive
Planchoice Inc.
400482
Agent - Health
3/5/2003
11/1/2013
Inactive
West Kentucky Group Benefits
401049
Agent - Life
12/28/1998
2/24/2003
Inactive
West Kentucky Group Benefits
401049
Agent - Health
12/28/1998
2/24/2003
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