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DEPARTMENT OF INSURANCE
Affiliations
Name
Warner, Michael Dennis
DOIID
357296
NAIC NPN
1467171
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
2/15/2023
8/31/2025
Active
Non Resident
Agent
Life
2/15/2023
8/31/2025
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
12/9/2021
Inactive
Resident
Agent
Casualty
8/15/2000
12/9/2021
Inactive
Resident
Agent
General Lines
4/27/1992
8/15/2000
Inactive
Resident
Agent
Health Maintenance Organization
10/2/1997
3/1/2001
Inactive
Resident
Agent
Property
8/15/2000
12/9/2021
Inactive
Resident
Life & Health Consultant
Not Applicable
6/24/1997
12/9/2021
* 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
06/15/2025
08/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accordia Life and Annuity Company
502966
Agent - Life
12/29/2020
2/26/2021
Inactive
Accordia Life and Annuity Company
502966
Agent - Variable Life and Variable Annuities
12/29/2020
2/26/2021
Inactive
Aetna Health Inc.
300694
Agent - Health
3/1/2001
12/31/2007
Inactive
Aetna Health Inc.
300694
Agent - Health Maintenance Organization
6/16/2000
3/1/2001
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
9/22/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Health
4/16/1998
9/22/2010
Inactive
Aetna Life Insurance Company
301140
Agent - Life
4/16/1998
9/22/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
1/20/2010
12/1/2015
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/20/2010
12/1/2015
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
1/20/2010
12/1/2015
Inactive
Allied Life Insurance Company
301294
Agent - Health
2/26/1999
1/1/2000
Inactive
Allied Life Insurance Company
301294
Agent - Life
2/26/1999
1/1/2000
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
6/11/1991
12/16/1996
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
6/11/1991
12/16/1996
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - General Lines
6/17/1992
12/30/1999
Inactive
American Economy Insurance Company
300315
Agent - Casualty
11/8/2019
12/9/2021
Inactive
American Economy Insurance Company
300315
Agent - Property
11/8/2019
12/9/2021
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
3/10/2016
12/2/2021
Inactive
American Fidelity Assurance Company
301004
Agent - Health
12/11/2000
12/15/2003
Inactive
American Fidelity Assurance Company
301004
Agent - Life
12/11/2000
12/15/2003
Inactive
American General Life Insurance Company
301585
Agent - Health
9/3/2002
1/3/2003
Inactive
American General Life Insurance Company
301585
Agent - Life
1/18/2002
1/3/2003
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
1/21/2009
9/30/2009
Inactive
American States Insurance Company
301230
Agent - Health
4/20/1990
7/1/2004
Inactive
American States Life Insurance Company
301884
Agent - Health
4/20/1990
12/4/2001
Inactive
American States Life Insurance Company
301884
Agent - Life
4/20/1990
12/4/2001
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
1/22/2017
12/9/2021
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
1/22/2017
12/9/2021
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
4/3/1996
6/27/1997
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
4/3/1996
6/27/1997
Inactive
Anthem Life Insurance Company
301209
Agent - Health
11/13/1997
5/10/2017
Inactive
Anthem Life Insurance Company
301209
Agent - Life
11/13/1997
5/10/2017
Inactive
Assurity Life Insurance Company
301099
Agent - Health
2/17/2015
12/23/2016
Inactive
Assurity Life Insurance Company
301099
Agent - Life
2/17/2015
12/23/2016
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
12/1/1994
2/20/1996
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
12/1/1994
2/20/1996
Inactive
Athene Annuity and Life Company
301893
Agent - Health
6/12/1997
6/5/2000
Inactive
Athene Annuity and Life Company
301893
Agent - Life
4/28/2016
7/7/2017
Inactive
Banner Life Insurance Company
301696
Agent - Life
9/12/2013
12/9/2021
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
3/7/2000
7/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
3/7/2000
7/1/2001
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
4/12/2019
12/9/2021
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
4/12/2019
12/9/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
8/29/2016
12/9/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
8/29/2016
12/9/2021
Inactive
Buckeye Union Insurance Company (The)
300597
Agent - General Lines
2/5/1997
3/31/1998
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/22/2007
11/12/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/22/2007
11/12/2012
Inactive
CMFG Life Insurance Company
300929
Agent - Health
8/26/2019
1/7/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Life
8/26/2019
1/7/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
8/26/2019
1/7/2020
Inactive
Centre Life Insurance Company
300341
Agent - Health
12/14/1994
3/31/1999
Inactive
Clarendon National Insurance Company
300843
Agent - Health
5/30/2000
3/26/2004
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
7/2/2002
4/26/2004
Inactive
Commercial Insurance Company of Newark, New Jersey
300328
Agent - General Lines
4/25/1997
3/31/1998
Inactive
Consolidated Insurance Company
300943
Agent - General Lines
2/23/1998
7/7/1998
Inactive
Continental Casualty Company
301019
Agent - General Lines
4/27/1992
12/30/1999
Inactive
Continental Casualty Company
301019
Agent - Health
8/5/2002
11/29/2004
Inactive
Continental Insurance Company (The)
301242
Agent - General Lines
1/31/1997
12/30/1999
Inactive
Delaware Life Insurance Company
301256
Agent - Life
7/28/2004
12/16/2014
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
10/24/2006
7/8/2010
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
12/27/2006
3/9/2009
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - General Lines
2/4/1997
3/31/1998
Inactive
Firemen's Insurance Company of Newark, New Jersey
300247
Agent - General Lines
4/25/1997
3/31/1998
Inactive
First Colony Life Insurance Company
301179
Agent - Life
4/19/1994
1/1/2007
Inactive
First National Insurance Company of America
301690
Agent - Casualty
8/15/2000
8/17/2005
Inactive
First National Insurance Company of America
301690
Agent - General Lines
11/1/1998
8/15/2000
Inactive
First National Insurance Company of America
301690
Agent - Property
8/15/2000
8/17/2005
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
7/15/2002
12/26/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
7/15/2002
12/26/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/6/2001
11/22/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/6/2001
11/22/2021
Inactive
General Insurance Company of America
300261
Agent - Casualty
8/15/2000
8/17/2005
Inactive
General Insurance Company of America
300261
Agent - General Lines
11/1/1998
8/15/2000
Inactive
General Insurance Company of America
300261
Agent - Property
8/15/2000
8/17/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Health
5/15/2008
1/5/2015
Inactive
Genworth Life Insurance Company
300623
Agent - Life
5/15/2008
1/5/2015
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
4/24/2009
Inactive
Glens Falls Insurance Company (The)
301922
Agent - General Lines
2/5/1997
3/31/1998
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
8/11/1998
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
8/11/1998
9/8/2000
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
4/22/2019
12/9/2021
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
4/22/2019
12/9/2021
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
4/22/2019
12/9/2021
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
11/2/2009
11/16/2011
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
11/2/2009
11/16/2011
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/8/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
10/2/1997
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
12/12/1990
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Life
12/12/1990
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/29/2004
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/29/2004
9/8/2010
Inactive
Indiana Insurance Company
301909
Agent - General Lines
2/23/1998
7/7/1998
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/12/2008
7/24/2014
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
5/12/2008
7/24/2014
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
8/1/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
8/1/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
7/2/2003
8/1/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
7/2/2003
8/1/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
9/16/1996
2/12/1999
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
9/16/1996
2/12/1999
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/17/2003
5/28/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/17/2003
5/28/2010
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/27/2005
9/8/2010
Inactive
Kanawha Insurance Company
300127
Agent - Life
10/27/2005
9/8/2010
Inactive
Kansas City Fire and Marine Insurance Company
301936
Agent - General Lines
2/4/1997
3/31/1998
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
5/28/2003
4/26/2005
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
5/28/2003
4/26/2005
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
10/20/1998
6/27/2006
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
10/20/1998
6/27/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
8/26/2002
12/24/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
8/26/2002
12/24/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/26/2004
12/9/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/26/2004
12/9/2021
Inactive
MEMBERS Life Insurance Company
301289
Agent - Health
8/26/2019
1/7/2020
Inactive
MEMBERS Life Insurance Company
301289
Agent - Life
8/26/2019
1/7/2020
Inactive
MEMBERS Life Insurance Company
301289
Agent - Variable Life and Variable Annuities
8/26/2019
1/7/2020
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
3/22/2007
11/12/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
3/15/2016
5/16/2018
Inactive
MedAmerica Insurance Company
301568
Agent - Health
9/21/2004
3/9/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
3/6/2015
4/27/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
3/6/2015
4/27/2018
Inactive
Midland National Life Insurance Company
300923
Agent - Life
4/26/2004
3/9/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
11/16/1998
5/29/2001
Inactive
Nassau Life Insurance Company
301406
Agent - Health
3/29/2001
2/13/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Life
3/29/2001
2/13/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
5/14/2001
2/13/2004
Inactive
National Fire Insurance Company of Hartford
301063
Agent - General Lines
6/17/1992
12/30/1999
Inactive
National Life Insurance Company
301852
Agent - Health
3/13/1998
12/19/2011
Inactive
National Life Insurance Company
301852
Agent - Life
3/13/1998
12/19/2011
Inactive
National Life Insurance Company
301852
Agent - Variable Life and Variable Annuities
7/31/2001
12/19/2011
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/9/1999
12/15/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/9/1999
12/15/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/31/2001
12/15/2014
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
3/26/2001
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
3/26/2001
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Variable Life and Variable Annuities
5/31/2001
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
6/26/1996
3/11/2005
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
6/26/1996
3/11/2005
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Variable Life and Variable Annuities
7/23/2001
3/11/2005
Inactive
Netherlands Insurance Company (The)
300339
Agent - General Lines
2/23/1998
7/7/1998
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
3/21/2016
5/15/2018
Inactive
Occidental Life Insurance Company of North Carolina
301185
Agent - Health
12/19/1996
8/9/1999
Inactive
Occidental Life Insurance Company of North Carolina
301185
Agent - Life
12/19/1996
8/9/1999
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
1/2/2002
1/3/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
1/2/2002
1/3/2003
Inactive
Optum Insurance of Ohio, Inc
301226
Agent - Life
11/1/1995
3/31/1997
Inactive
Oxford Life Insurance Company
301079
Agent - Life
2/5/2001
1/27/2009
Inactive
PHL Variable Insurance Company
300525
Agent - Health
5/14/2001
2/13/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Life
5/14/2001
2/13/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
5/14/2001
2/13/2004
Inactive
Pacific Life & Annuity Company
300443
Agent - Health
8/24/1993
3/31/1997
Inactive
Pacific Life & Annuity Company
300443
Agent - Life
8/24/1993
3/31/1997
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/11/2016
3/27/2018
Inactive
Pan-American Assurance Company
301533
Agent - Health
7/26/1999
10/14/2004
Inactive
Pan-American Assurance Company
301533
Agent - Life
7/26/1999
10/14/2004
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
7/26/1999
10/14/2004
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
7/26/1999
10/14/2004
Inactive
Peerless Insurance Company
301910
Agent - General Lines
2/23/1998
7/7/1998
Inactive
Physicians Life Insurance Company
300924
Agent - Health
7/27/2004
12/12/2006
Inactive
Physicians Life Insurance Company
300924
Agent - Life
7/27/2004
12/12/2006
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
7/27/2004
12/14/2006
Inactive
Principal Life Insurance Company
300129
Agent - Health
11/9/1992
12/9/2021
Inactive
Principal Life Insurance Company
300129
Agent - Life
11/9/1992
12/9/2021
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
2/27/2003
12/9/2021
Inactive
Principal National Life Insurance Company
301926
Agent - Life
11/4/2016
12/9/2021
Inactive
Professional Insurance Company
301281
Agent - Health
9/9/1996
1/29/1999
Inactive
Professional Insurance Company
301281
Agent - Life
9/9/1996
1/29/1999
Inactive
Pruco Life Insurance Company
300954
Agent - Life
3/5/2010
12/22/2016
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
3/5/2010
12/22/2016
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
1/1/2000
4/28/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
1/1/2000
4/28/2003
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
8/17/2007
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
8/17/2007
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
8/15/2000
12/9/2021
Inactive
SAFECO Insurance Company of America
300159
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
8/15/2000
12/9/2021
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
8/15/2000
8/17/2005
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
8/15/2000
8/17/2005
Inactive
Sagicor Life Insurance Company
300459
Agent - Life
3/15/2016
7/12/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
9/9/2005
8/17/2007
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
1/12/1993
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
1/12/1993
10/1/2003
Active
Standard Insurance Company
300185
Agent - Health
11/29/2023
Active
Standard Insurance Company
300185
Agent - Life
11/29/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/1/1990
12/4/2001
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/1/1990
12/4/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
12/8/2011
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
12/8/2011
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
12/8/2011
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
12/8/2011
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
12/8/2011
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
12/8/2011
11/25/2013
Inactive
Time Insurance Company
300683
Agent - Health
2/29/1996
2/12/2001
Inactive
Time Insurance Company
300683
Agent - Life
2/29/1996
2/12/2001
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
7/6/1999
12/10/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/6/1999
12/10/2004
Inactive
Transcontinental Insurance Company
301731
Agent - General Lines
6/17/1992
3/31/1998
Inactive
Transportation Insurance Company
301575
Agent - Casualty
8/15/2000
12/29/2004
Inactive
Transportation Insurance Company
301575
Agent - General Lines
6/17/1992
8/15/2000
Inactive
Transportation Insurance Company
301575
Agent - Property
8/15/2000
12/29/2004
Inactive
Trustmark Insurance Company
300317
Agent - Health
1/13/1997
5/16/2003
Inactive
Trustmark Insurance Company
300317
Agent - Life
1/13/1997
5/16/2003
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
6/18/2001
7/12/2005
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
6/18/2001
7/12/2005
Inactive
Union Security Insurance Company
301844
Agent - Health
9/7/1994
12/15/2006
Inactive
Union Security Insurance Company
301844
Agent - Life
9/7/1994
12/15/2006
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
1/23/1998
12/28/2005
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
1/23/1998
12/28/2005
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/16/1998
5/29/2001
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/16/1998
5/29/2001
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
12/3/2010
10/31/2011
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
12/3/2010
10/31/2011
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
12/3/2010
10/31/2011
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
12/3/2010
10/31/2011
Inactive
Valley Forge Insurance Company
301052
Agent - General Lines
6/17/1992
12/30/1999
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
5/13/2009
10/19/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
5/13/2009
10/19/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
5/13/2009
10/19/2012
Inactive
Western National Life Insurance Company
300461
Agent - Life
1/15/2002
11/30/2007
Inactive
Woodmen Accident and Life Company
300147
Agent - Health
3/1/1996
12/28/1998
Inactive
Woodmen Accident and Life Company
300147
Agent - Life
3/1/1996
12/28/1998
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia of Louisville Inc.
401252
Agent - Health
10/27/1997
2/28/2003
Inactive
Acordia of Louisville Inc.
401252
Agent - Life
10/27/1997
2/28/2003
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
6/25/1996
2/28/2005
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
6/25/1996
2/28/2005
Inactive
Designated Agent Company Inc.
681257
Agent - Health
11/20/2014
12/9/2021
Inactive
Designated Agent Company Inc.
681257
Agent - Life
11/20/2014
12/9/2021
Inactive
Hayes Utley & Assoc Inc.
399093
Agent - Health
12/5/1995
9/28/2001
Inactive
Hayes Utley & Assoc Inc.
399093
Agent - General Lines
12/5/1995
8/15/2000
Inactive
Hayes Utley & Assoc Inc.
399093
Agent - Life
12/5/1995
9/28/2001
Inactive
Hayes Utley & Assoc Inc.
399093
Agent - Property
8/15/2000
9/28/2001
Inactive
Hayes Utley & Assoc Inc.
399093
Agent - Casualty
8/15/2000
9/28/2001
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Kentucky Financial Group Inc.
400432
Agent - Health
7/29/1993
2/14/2003
Inactive
Kentucky Financial Group Inc.
400432
Agent - Life
7/29/1993
2/14/2003
Inactive
Medlink Inc
400721
Agent - Health
11/23/1998
12/9/2021
Inactive
Medlink Inc
400721
Agent - Life
11/23/1998
12/9/2021
Inactive
Neace Lukens, Inc.
398909
Agent - Health
1/9/2007
8/29/2007
Inactive
Neace Lukens, Inc.
398909
Agent - Life
1/9/2007
8/29/2007
Inactive
Neace Lukens, Inc.
398909
Life & Health Consultant - Not Applicable
1/9/2007
3/31/2014
Inactive
Securities America Inc.
400225
Agent - Health
5/7/2001
1/6/2020
Inactive
Securities America Inc.
400225
Agent - Life
5/7/2001
1/6/2020
Inactive
Securities America Inc.
400225
Agent - Variable Life and Variable Annuities
5/31/2001
12/9/2021
Inactive
Warner Associates, Inc.
535660
Agent - Health
12/26/2001
3/31/2021
Inactive
Warner Associates, Inc.
535660
Agent - Life
12/26/2001
3/31/2021
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