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DEPARTMENT OF INSURANCE
Affiliations
Name
Godby, Gary Wayne
DOIID
326319
NAIC NPN
7172458
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
5/28/1998
11/1/2019
Inactive
Resident
Agent
Health Maintenance Organization
3/1/2000
3/1/2001
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
11/1/2019
Inactive
Resident
Agent
Life
5/28/1998
11/1/2019
* 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.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Advantage Care, Inc.
300998
Agent - Health Maintenance Organization
3/30/2000
12/1/2000
Inactive
Aetna Health Inc.
300694
Agent - Health
6/11/2001
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
11/21/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Health
6/11/2001
11/21/2011
Inactive
Aetna Life Insurance Company
301140
Agent - Life
6/11/2001
11/21/2011
Inactive
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Health
12/4/1998
8/1/2000
Inactive
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Life
12/4/1998
8/1/2000
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
1/22/2001
11/21/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
6/14/1999
11/21/2007
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
1/26/2001
6/23/2008
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
10/13/2000
6/1/2005
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
2/20/2005
6/1/2005
Inactive
American Fidelity Assurance Company
301004
Agent - Health
8/1/2002
12/29/2006
Inactive
American Fidelity Assurance Company
301004
Agent - Life
8/1/2002
12/29/2006
Inactive
American General Life Insurance Company
301585
Agent - Health
4/25/2002
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
4/25/2002
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
4/25/2002
10/25/2012
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
7/17/2000
5/23/2002
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
7/17/2000
5/23/2002
Inactive
American National Insurance Company
301861
Agent - Health
4/13/2004
7/18/2008
Inactive
American National Insurance Company
301861
Agent - Life
4/13/2004
7/18/2008
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
1/2/2002
11/8/2004
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
1/2/2002
11/8/2004
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
1/24/2004
1/24/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
1/24/2004
11/29/2006
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
5/6/2004
11/29/2006
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
4/22/2009
11/10/2014
Inactive
Baltimore Life Insurance Company
300286
Agent - Health
7/1/2002
10/30/2003
Inactive
Baltimore Life Insurance Company
300286
Agent - Life
7/1/2002
10/30/2003
Inactive
Banner Life Insurance Company
301696
Agent - Life
11/15/2013
8/4/2016
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
5/17/2007
3/31/2019
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
4/26/2001
7/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
4/26/2001
7/1/2001
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
7/20/2001
2/21/2003
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
7/20/2001
2/21/2003
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/7/2007
2/9/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/9/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/7/2007
2/9/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Health
8/26/2002
5/13/2014
Inactive
C.M. Life Insurance Company
301335
Agent - Life
8/26/2002
5/13/2014
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
8/26/2002
5/13/2014
Inactive
CHA HMO, Inc.
300662
Agent - Health
3/11/2002
12/10/2012
Inactive
Canada Life Assurance Company
301192
Agent - Health
2/18/2000
9/8/2003
Inactive
Canada Life Assurance Company
301192
Agent - Life
2/18/2000
9/8/2003
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Health
3/13/2001
11/22/2002
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Life
3/12/2001
11/22/2002
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
11/1/2004
1/10/2012
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
11/1/2004
1/10/2012
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
2/7/2002
5/31/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
2/7/2002
5/31/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
2/7/2002
5/31/2006
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
5/23/2008
12/8/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
5/23/2008
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
5/23/2008
7/2/2013
Inactive
Companion Life Insurance Company
300191
Agent - Health
2/2/2004
10/13/2009
Inactive
Companion Life Insurance Company
300191
Agent - Life
2/2/2004
10/13/2009
Inactive
Conseco Health Insurance Company
301725
Agent - Health
3/22/2001
4/16/2002
Inactive
Conseco Health Insurance Company
301725
Agent - Life
3/22/2001
4/16/2002
Inactive
Cotton States Life Insurance Company
300268
Agent - Life
5/31/2001
12/13/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Life
4/24/2003
12/13/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
4/24/2003
12/13/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
10/2/2007
12/13/2016
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
1/16/2001
12/20/2012
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
7/23/2004
12/4/2008
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
7/23/2004
12/4/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Health
2/2/1999
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
2/2/1999
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
5/26/1999
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
5/26/1999
12/23/2008
Inactive
Forethought Life Insurance Company
301407
Agent - Life
7/17/2009
11/1/2019
Inactive
Genworth Life Insurance Company
300623
Agent - Health
7/17/2002
12/4/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Life
7/17/2002
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/17/2000
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
4/17/2000
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
5/31/2001
12/7/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
9/13/2011
12/13/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Life
9/13/2011
12/13/2012
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
7/1/2001
4/3/2003
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
7/1/2001
4/3/2003
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
1/24/2000
12/11/2009
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
1/24/2000
12/11/2009
Inactive
Health Resources Inc.
301210
Agent - Health
8/22/2001
3/31/2003
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
12/7/2013
12/8/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
5/23/2008
7/14/2017
Inactive
Humana Insurance Company
301104
Agent - Health
4/4/2003
7/14/2017
Inactive
Humana Insurance Company
301104
Agent - Life
4/4/2003
7/14/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/2/2007
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/2/2007
12/8/2015
Inactive
HumanaDental Insurance Company
301457
Agent - Health
10/2/2007
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
10/2/2007
5/13/2013
Inactive
ING Insurance Company of America
301507
Agent - Life
3/17/1999
12/31/2002
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
5/26/2010
11/4/2011
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
5/26/2010
11/4/2011
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/14/2001
2/3/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
10/30/2002
4/1/2003
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
10/30/2002
4/1/2003
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
10/30/2002
4/1/2003
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
10/30/2002
4/1/2003
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
10/30/2002
4/1/2003
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
10/30/2002
4/1/2003
Inactive
John Alden Life Insurance Company
300573
Agent - Health
4/19/2005
12/29/2010
Inactive
John Alden Life Insurance Company
300573
Agent - Life
4/19/2005
12/29/2010
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
7/23/2002
7/19/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
7/23/2002
7/19/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
7/12/2002
11/9/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
7/12/2002
11/9/2009
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
7/23/2002
12/11/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
7/23/2002
12/11/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
3/16/2016
7/14/2017
Inactive
Kanawha Insurance Company
300127
Agent - Life
3/16/2016
7/14/2017
Inactive
Kansas City Life Insurance Company
301444
Agent - Health
9/12/2005
5/10/2011
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
9/12/2005
5/10/2011
Inactive
Kentucky Health Cooperative, Inc.
798780
Agent - Health
1/3/2014
10/29/2015
Inactive
Life Insurance Company of Alabama
301439
Agent - Health
6/2/2003
11/1/2019
Inactive
Life Insurance Company of Alabama
301439
Agent - Life
6/2/2003
11/1/2019
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
7/12/2000
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
5/31/2001
7/14/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/11/2002
11/25/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/11/2002
11/25/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/11/2002
11/25/2014
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
4/22/2009
9/20/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
4/22/2009
11/10/2014
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
8/26/2002
5/13/2014
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
8/26/2002
5/13/2014
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
8/26/2002
5/13/2014
Inactive
MetLife Insurance Company of Connecticut (P&C)
520269
Agent - Health
3/19/2003
8/19/2004
Inactive
MetLife Insurance Company of Connecticut (P&C)
520269
Agent - Life
3/19/2003
8/19/2004
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
3/14/2006
3/1/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
1/30/2004
3/1/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
1/30/2004
3/1/2010
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
3/19/2003
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
3/4/2003
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
3/4/2003
12/7/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
10/25/2002
11/14/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
10/25/2002
11/14/2009
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/26/2009
1/5/2011
Inactive
Nassau Life Insurance Company
301406
Agent - Health
12/22/1999
2/13/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Life
12/22/1999
2/13/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
2/22/2005
12/9/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
2/22/2005
12/9/2010
Inactive
New England Life Insurance Company
300343
Agent - Health
10/25/2002
11/14/2009
Inactive
New England Life Insurance Company
300343
Agent - Life
10/25/2002
11/14/2009
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
2/20/2004
10/18/2005
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
2/20/2004
10/18/2005
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
4/22/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
4/22/2002
3/31/2003
Inactive
Old Republic Life Insurance Company
301214
Agent - Life
6/5/2002
9/27/2004
Inactive
Oxford Life Insurance Company
301079
Agent - Health
3/3/2015
10/21/2016
Inactive
Oxford Life Insurance Company
301079
Agent - Life
3/3/2015
10/21/2016
Inactive
PHL Variable Insurance Company
300525
Agent - Health
12/22/1999
2/13/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Life
12/22/1999
2/13/2004
Inactive
Pacific Life Insurance Company
301848
Agent - Life
5/19/2009
2/26/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
5/19/2009
2/26/2013
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
5/6/2004
10/3/2007
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
5/6/2004
10/3/2007
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
11/10/1998
12/12/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
11/10/1998
12/12/2005
Inactive
Physicians Life Insurance Company
300924
Agent - Life
5/10/2001
9/17/2001
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
5/10/2001
9/17/2001
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/28/2000
12/9/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/28/2000
12/9/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
9/28/2012
11/23/2015
Inactive
Protective Life Insurance Company
300638
Agent - Life
9/28/2012
11/23/2015
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
9/28/2012
11/23/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
2/8/2002
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
2/8/2002
10/24/2003
Inactive
Pruco Life Insurance Company
300954
Agent - Life
4/13/2000
12/22/2016
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
12/3/2001
12/22/2016
Inactive
Prudential Insurance Company of America
300784
Agent - Life
4/13/2000
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
12/3/2001
12/23/2014
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
3/25/1999
9/3/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
3/25/1999
9/3/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
5/23/2000
10/10/2006
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
5/23/2000
10/10/2006
Inactive
Royal Neighbors of America
301646
Agent - Life
4/8/2009
10/4/2011
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
6/10/1999
10/1/2003
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
7/16/2008
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
7/16/2008
3/31/2009
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
3/9/2001
7/14/2008
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
3/9/2001
7/14/2008
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
4/10/2003
12/13/2006
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
8/28/2002
2/8/2005
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
8/28/2002
2/8/2005
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
3/22/2000
12/14/2009
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
3/22/2000
3/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/5/1999
7/17/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
4/5/1999
7/17/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
7/17/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
4/5/1999
7/17/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
4/5/1999
7/17/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
7/17/2009
Inactive
Time Insurance Company
300683
Agent - Health
1/16/2001
12/8/2005
Inactive
Time Insurance Company
300683
Agent - Life
1/16/2001
12/8/2005
Inactive
Transamerica Assurance Company
300893
Agent - Health
3/7/2000
8/18/2003
Inactive
Transamerica Assurance Company
300893
Agent - Life
3/7/2000
8/18/2003
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
2/1/2012
1/29/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
2/1/2012
1/29/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/1/2008
6/26/2017
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
3/7/2000
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
9/18/2003
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
2/16/2000
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
2/16/2000
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
5/31/2001
10/1/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
2/26/2001
7/25/2002
Inactive
Trustmark Insurance Company
300317
Agent - Life
1/8/2001
9/16/2002
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
9/20/1999
10/18/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
4/23/1999
12/12/2005
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
4/23/1999
12/12/2005
Inactive
USG Annuity & Life Company
300457
Agent - Health
1/24/2000
1/1/2004
Inactive
USG Annuity & Life Company
300457
Agent - Life
1/24/2000
1/1/2004
Inactive
Union Fidelity Life Insurance Company
301136
Agent - Health
4/29/1999
10/17/2002
Inactive
Union Fidelity Life Insurance Company
301136
Agent - Life
4/29/1999
10/17/2002
Inactive
Union Security Insurance Company
301844
Agent - Health
6/7/2000
1/9/2015
Inactive
Union Security Insurance Company
301844
Agent - Life
6/7/2000
12/17/2001
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
5/21/1999
12/19/2008
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
5/21/1999
12/19/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
3/26/2009
1/5/2011
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
3/26/2009
1/5/2011
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
1/12/2005
11/30/2016
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
1/12/2005
11/30/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
11/30/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
3/1/2000
3/1/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
1/1/2004
12/16/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/1/2004
12/1/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
3/17/1999
12/17/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
3/17/1999
12/12/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
1/29/2004
12/12/2006
Inactive
Wellpoint Life and Health Insurance Company
300469
Agent - Health
6/1/2003
12/3/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Health
6/15/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
6/15/2009
11/16/2011
Inactive
Western National Life Insurance Company
300461
Agent - Life
2/19/2004
12/4/2007
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
8/13/2001
7/13/2010
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
8/13/2001
7/13/2010
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
8/13/2001
11/8/2010
Inactive
300277
Agent - Life
6/9/1999
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
12/29/2005
1/10/2014
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/11/2013
11/1/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/11/2013
11/1/2019
Inactive
Kovack Securities Inc
583337
Agent - Life
2/16/2007
8/5/2010
Inactive
Kovack Securities Inc
583337
Agent - Variable Life and Variable Annuities
2/16/2007
8/5/2010
Inactive
Medlink Inc
400721
Agent - Life
9/14/2006
11/1/2019
Inactive
Medlink Inc
400721
Agent - Health
9/14/2006
11/1/2019
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