DEPARTMENT OF INSURANCE
Affiliations
NameChurch, W ScottDOIID353320NAIC NPN1486226
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/28/2006 4/30/2026
ActiveResidentAgentCasualty8/28/2006 4/30/2026
ActiveResidentAgentHealth12/21/1994 4/30/2026
ActiveResidentAgentLife12/21/1994 4/30/2026
InactiveResidentAgentHealth Maintenance Organization7/18/19973/1/2001 
ActiveResidentLife & Health ConsultantNot Applicable9/23/2013 4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty5/1/202012/19/2023
InactiveACUITY, A Mutual Insurance Company300095Agent - Property5/1/202012/19/2023
InactiveAetna Health Inc.300694Agent - Health6/28/200212/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health10/11/20177/27/2022
InactiveAetna Life Insurance Company301140Agent - Health10/11/20177/27/2022
InactiveAetna Life Insurance Company301140Agent - Life10/11/20177/27/2022
ActiveAll Savers Insurance Company301940Agent - Health1/8/2016 
ActiveAll Savers Insurance Company301940Agent - Life1/8/2016 
InactiveAmerican General Life Insurance Company301585Agent - Health3/31/20034/25/2011
InactiveAmerican General Life Insurance Company301585Agent - Life7/2/20014/25/2011
InactiveAmerican United Life Insurance Company300498Agent - Health4/1/20079/29/2023
InactiveAmerican United Life Insurance Company300498Agent - Life4/1/20079/29/2023
ActiveAmeritas Life Insurance Corporation300126Agent - Health3/24/2021 
ActiveAmeritas Life Insurance Corporation300126Agent - Life3/24/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/21/19948/2/1999
InactiveAnthem Life Insurance Company301209Agent - Life12/21/19948/2/1999
ActiveBanner Life Insurance Company301696Agent - Life4/10/2006 
InactiveBerkshire Life Insurance Company of America300983Agent - Health9/26/200512/21/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life9/26/200512/21/2011
InactiveChase Insurance Life and Annuity Company300518Agent - Health6/16/19974/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life6/16/19974/1/2007
ActiveCitizens Security Life Insurance Company301257Agent - Health10/31/2005 
ActiveCitizens Security Life Insurance Company301257Agent - Life10/31/2005 
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/17/20025/7/2004
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/17/20025/7/2004
InactiveCompBenefits Dental, Inc.591692Agent - Health1/21/20153/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health3/20/202012/15/2020
InactiveCompBenefits Insurance Company301864Agent - Life3/14/20127/2/2013
InactiveCoventry Health and Life Insurance Company301771Agent - Health10/11/20176/15/2022
ActiveDental Care Plus Inc.301495Agent - Health2/17/2006 
ActiveDental Concern Inc. (The)301641Agent - Health12/8/2014 
InactiveEncova Life Insurance Company301818Agent - Life12/1/20081/1/2024
ActiveEquitable Financial Life Insurance Company of America301772Agent - Health9/27/2016 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Life9/27/2016 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life1/29/200310/28/2008
InactiveFidelity Security Life Insurance Company300466Agent - Health12/28/200712/10/2020
InactiveFidelity Security Life Insurance Company300466Agent - Life12/28/200712/10/2020
InactiveFirst Colony Life Insurance Company301179Agent - Life9/2/20051/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health10/14/20089/22/2009
InactiveGenworth Life Insurance Company300623Agent - Life10/14/20089/22/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
ActiveGuardian Life Insurance Company of America301316Agent - Health9/26/2005 
ActiveGuardian Life Insurance Company of America301316Agent - Life9/26/2005 
ActiveHCC Life Insurance Company301827Agent - Health9/29/2016 
ActiveHCC Life Insurance Company301827Agent - Life9/29/2016 
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/24/2010 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/24/2010 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/19/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health2/19/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization7/18/19973/1/2001
ActiveHumana Insurance Company301104Agent - Health7/18/1997 
ActiveHumana Insurance Company301104Agent - Life7/18/1997 
ActiveHumana Insurance Company of Kentucky300826Agent - Health2/19/2021 
ActiveHumana Insurance Company of Kentucky300826Agent - Life2/19/2021 
ActiveHumana Medical Plan, Inc.801568Agent - Health2/19/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/19/2021 
InactiveHumanaDental Insurance Company301457Agent - Health3/14/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/14/201212/19/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health6/10/20021/18/2011
InactiveIllinois Mutual Life Insurance Company301479Agent - Life6/10/20021/18/2011
InactiveJohn Alden Life Insurance Company300573Agent - Health6/26/200612/29/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life6/26/200612/29/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/2/20051/18/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/2/200512/11/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/21/20055/28/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/21/20055/28/2010
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/2/200512/11/2006
InactiveKanawha Insurance Company300127Agent - Health1/21/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/21/201510/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/30/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/30/2014 
InactiveMetropolitan Life Insurance Company301948Agent - Health7/7/200612/21/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life7/7/200612/21/2012
InactiveMutual of Omaha Insurance Company301012Agent - Health12/14/202211/22/2023
ActiveNational Guardian Life Insurance Company300596Agent - Health3/19/2021 
InactiveNational Guardian Life Insurance Company300596Agent - Life9/30/20051/19/2007
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/7/200211/9/2004
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health7/2/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life7/2/20013/31/2003
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
InactivePenn Insurance and Annuity Company300712Agent - Health9/18/20025/2/2007
InactivePenn Insurance and Annuity Company300712Agent - Life9/18/20025/2/2007
InactivePenn Mutual Life Insurance Company301394Agent - Health9/18/20025/2/2007
InactivePenn Mutual Life Insurance Company301394Agent - Life9/18/20025/2/2007
InactivePrincipal Life Insurance Company300129Agent - Health5/30/200012/4/2008
InactivePrincipal Life Insurance Company300129Agent - Life5/30/200012/4/2008
InactiveProtective Life Insurance Company300638Agent - Health7/11/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life7/11/202111/23/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/18/20069/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/18/20069/9/2015
InactivePruco Life Insurance Company300954Agent - Health2/20/200812/23/2014
ActivePruco Life Insurance Company300954Agent - Life9/20/2016 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/19/201312/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life12/19/201312/26/2018
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/24/19991/8/2007
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/24/19991/8/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health5/18/20069/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life5/18/20069/9/2015
InactiveUnion Central Life Insurance Company300307Agent - Health2/22/20117/1/2014
InactiveUnion Central Life Insurance Company300307Agent - Life2/22/20117/1/2014
InactiveUnion Security Insurance Company301844Agent - Health7/29/199912/31/2000
InactiveUnion Security Insurance Company301844Agent - Life7/29/199912/31/2000
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/29/2017 
ActiveUnitedHealthcare Insurance Company300946Agent - Life3/29/2017 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/7/2018 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/31/2022 
InactiveWest Coast Life Insurance Company301607Agent - Health1/15/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life1/15/200911/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life6/25/20018/11/2006
InactiveWestport Insurance Corporation301875Agent - Health3/7/20167/30/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health7/5/2006 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveLogan Lavelle Hunt Ins Agency LLC398963Agent - Life5/17/20063/31/2023
InactiveLogan Lavelle Hunt Ins Agency LLC398963Agent - Health5/17/20063/31/2023
InactiveLogan Lavelle Hunt Ins Agency LLC398963Life & Health Consultant - Not Applicable7/12/20173/31/2019
ActiveShepherd Insurance, LLC774397Agent - Life5/2/2018 
ActiveShepherd Insurance, LLC774397Agent - Health5/2/2018 
InactiveShepherd Insurance, LLC774397Agent - Casualty5/2/20184/22/2020
InactiveShepherd Insurance, LLC774397Agent - Property5/2/20184/22/2020
InactiveWinston & Company Benefits Inc.398287Agent - Life10/31/19955/31/2006
InactiveWinston & Company Benefits Inc.398287Agent - Health10/31/19955/31/2006

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