DEPARTMENT OF INSURANCE

Affiliations

Name	Worth, Jason	DOIID	359977	NAIC NPN	725577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/9/1992		8/31/2024
Active	Resident	Agent	Health	12/9/1992		8/31/2024
Active	Resident	Agent	Property	8/15/2000		8/31/2024
Active	Resident	Agent	Casualty	8/15/2000		8/31/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		8/31/2024
Inactive	Resident	Agent	General Lines	7/14/2000	8/15/2000
Inactive	Resident	Solicitor	General Lines	10/8/1991	7/14/2000
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/10/2021
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/10/2021
Inactive	AIG Assurance Company	300897	Agent - Casualty	10/1/2003	6/21/2005
Inactive	AIG Assurance Company	300897	Agent - Property	10/1/2003	6/21/2005
Active	Addison Insurance Company	874810	Agent - Casualty	6/22/2022
Active	Addison Insurance Company	874810	Agent - Property	6/22/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	9/10/2015	10/28/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/10/2015	10/28/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2009
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/31/2009
Active	Aetna Life Insurance Company	301140	Agent - Life	12/31/2009
Active	All Savers Insurance Company	301940	Agent - Health	3/12/2012
Active	All Savers Insurance Company	301940	Agent - Life	11/1/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/24/2005	2/1/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	5/24/2005	2/1/2010
Inactive	American Continental Insurance Company	643130	Agent - Health	7/24/2008	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	7/24/2008	5/12/2011
Active	American Economy Insurance Company	300315	Agent - Casualty	5/1/2020
Active	American Economy Insurance Company	300315	Agent - Property	5/1/2020
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/7/2002	2/24/2009
Active	American Family Home Insurance Company	301817	Agent - Casualty	3/15/2021
Active	American Family Home Insurance Company	301817	Agent - Property	3/15/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/8/2013
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/8/2013
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008
Active	American Fire and Casualty Company	300567	Agent - Property	10/7/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	5/21/2008	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/21/2008	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	5/21/2008	10/25/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/19/2008	6/5/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/19/2008	6/5/2009
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/12/2009
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/12/2009
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/30/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/30/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/2/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/2/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/30/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/30/2015	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	3/18/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	3/18/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/18/2005	3/29/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/18/2005	3/29/2010
Active	Ansur America Insurance Company	520667	Agent - Casualty	2/11/2021
Active	Ansur America Insurance Company	520667	Agent - Property	2/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/19/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/27/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	12/13/2022
Inactive	Assurance Company of America	300432	Agent - Casualty	2/11/2004	3/29/2010
Inactive	Assurance Company of America	300432	Agent - Property	2/11/2004	3/29/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/7/2014	12/27/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/7/2014	12/27/2016
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	5/27/2009
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/10/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/10/2021
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Property	4/24/2016	6/5/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/28/2010	4/22/2021
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/19/2008	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/19/2008	1/5/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/23/2009	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/23/2009	10/12/2020
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	2/11/2004	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	2/11/2004	11/30/2007
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	5/23/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/24/2017
Active	Bristol West Insurance Company	301655	Agent - Property	2/24/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/20/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/11/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	3/3/2021
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	5/20/2003	12/3/2003
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	5/20/2003	12/3/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/5/2001	12/5/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/5/2001	12/5/2013
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/18/2000	4/1/2007
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/20/2023
Active	Cigna National Health Insurance Company	300235	Agent - Health	7/6/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/22/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/22/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/22/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/22/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/22/2021
Active	Cincinnati Insurance Company	301298	Agent - Property	1/22/2021
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/4/2021
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	4/22/2003	10/17/2003
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/24/2009
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/24/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/4/2015	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	2/28/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/12/2008	12/12/2011
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/27/2021
Inactive	Conseco Insurance Company	301202	Agent - Life	3/11/2002	1/13/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/13/2022
Inactive	Continental Casualty Company	301019	Agent - Health	11/18/2002	11/29/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Countryway Insurance Company	300809	Agent - Casualty	8/23/2023
Active	Countryway Insurance Company	300809	Agent - Property	8/23/2023
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	9/28/2010	12/30/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	9/28/2010	12/30/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/13/2022
Active	EMC National Life Company	300388	Agent - Health	5/22/2014
Active	EMC National Life Company	300388	Agent - Life	5/22/2014
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/21/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/21/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015
Inactive	Economy Preferred Insurance Company	300480	Agent - Casualty	10/7/2019	2/27/2020
Inactive	Economy Preferred Insurance Company	300480	Agent - Property	10/7/2019	2/27/2020
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/29/2016
Active	Employers Insurance Company of Wausau	301813	Agent - Property	2/29/2016
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	5/20/2014
Active	Employers Mutual Casualty Company	300202	Agent - Property	5/20/2014
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	8/19/2008	11/12/2011
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	8/19/2008	11/12/2011
Active	Encompass Indemnity Company	546376	Agent - Casualty	6/14/2012
Active	Encompass Indemnity Company	546376	Agent - Property	6/14/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	6/14/2012	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	6/14/2012	12/13/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	6/30/2009	12/10/2010
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	6/30/2009	12/10/2010
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/7/2019	2/27/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/7/2019	2/27/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/7/2019	2/27/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/7/2019	2/27/2020
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/8/2002	3/5/2009
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/13/2011	1/5/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/13/2011	1/5/2015
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	7/5/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	5/7/2013
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/29/2016
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/29/2016
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/26/2004	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/26/2004	12/18/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/24/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/24/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	8/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	8/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	8/1/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Health	9/12/2011	11/13/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	9/12/2011	11/13/2014
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	12/10/1996	12/13/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	9/24/2001	12/13/2004
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	2/11/2021
Active	Frankenmuth Insurance Company	301481	Agent - Property	2/11/2021
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	12/9/1992	3/31/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	12/9/1992	3/31/1997
Inactive	General American Life Insurance Company	300280	Agent - Health	1/16/2007	3/18/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	1/16/2007	3/18/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/3/2009	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/3/2009	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/4/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/4/2008	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/29/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/29/2010	12/17/2012
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	12/26/2001	11/1/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	12/26/2001	11/1/2002
Active	Golden Rule Insurance Company	301943	Agent - Health	6/14/2013
Active	Golden Rule Insurance Company	301943	Agent - Life	6/14/2013
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/23/2009	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/23/2009
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/23/2009
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/18/1998	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/18/1998	9/30/2003
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	5/20/2014	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	5/20/2014	12/20/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/23/2006	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/23/2006	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/23/2006	9/9/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/23/2006	9/9/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	7/14/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/23/2006	9/9/2008
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/1/2012
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/1/2012
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/23/2006	9/9/2008
Inactive	Healthcare Underwriters Group Insurance Company of Kentucky, Inc.	582377	Agent - Casualty	1/15/2014	1/8/2015
Inactive	Healthcare Underwriters Group, Inc,	863144	Agent - Casualty	1/8/2015	10/31/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/20/2015	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/15/2019	12/13/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/25/2023
Active	Humana Insurance Company	301104	Agent - Health	12/18/2007
Active	Humana Insurance Company	301104	Agent - Life	12/18/2007
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2023
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/25/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/20/2015	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/13/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/18/2007	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/18/2007	5/13/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	4/29/2002	10/1/2008
Active	Insurance Company of the West	301520	Agent - Casualty	4/30/2021
Active	Insurance Company of the West	301520	Agent - Property	4/30/2021
Inactive	Integrity Life Insurance Company	301687	Agent - Life	3/14/1998	12/13/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	11/18/1999	2/23/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	11/18/1999	2/23/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/27/2005	10/9/2013
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	7/12/2004	6/8/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/14/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/14/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	10/14/2004	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/14/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/14/2004	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	10/14/2004	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/22/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/22/2017	8/9/2018
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	4/4/2005
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/30/2003	4/4/2005
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Active	Kentucky National Insurance Company	301625	Agent - Casualty	1/8/2001
Active	Kentucky National Insurance Company	301625	Agent - Property	1/8/2001
Inactive	Keystone National Insurance Company	745173	Agent - Casualty	9/9/2021	1/22/2024
Inactive	Keystone National Insurance Company	745173	Agent - Property	9/9/2021	1/22/2024
Active	LM Insurance Corporation	301061	Agent - Casualty	2/29/2016
Active	LM Insurance Corporation	301061	Agent - Property	2/29/2016
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/19/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/19/2008	1/5/2010
Active	Liberty Insurance Corporation	300444	Agent - Casualty	2/29/2016
Active	Liberty Insurance Corporation	300444	Agent - Property	2/29/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/29/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/29/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/29/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	2/29/2016
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	12/4/2008	2/4/2013
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	12/4/2008	2/4/2013
Active	Life Insurance Company of the Southwest	301867	Agent - Health	6/19/2014
Active	Life Insurance Company of the Southwest	301867	Agent - Life	6/19/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/23/2010	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/23/2010	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	6/23/2010	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/26/2004
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/26/2004
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	4/2/2007
Active	MICO Insurance Company	301664	Agent - Casualty	10/28/2021
Active	MICO Insurance Company	301664	Agent - Property	10/28/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/15/2021
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	4/15/2021
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/11/2004	3/29/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	2/11/2004	3/29/2010
Active	Medco Containment Life Insurance Company	301557	Agent - Health	12/11/2023
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	7/29/2014	3/26/2018
Active	Medico Insurance Company	301559	Agent - Health	1/30/2023
Active	Medico Insurance Company	301559	Agent - Life	1/30/2023
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	6/2/2020	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	6/2/2020	12/28/2020
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	1/16/2007	3/18/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/16/2007	3/18/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/1/2009	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/1/2009	12/18/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/8/1999	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	10/12/2010	10/1/2015
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/12/2010	12/20/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	3/25/2002	5/21/2008
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	10/9/2008	12/15/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	10/9/2008	12/15/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	10/9/2008	12/15/2015
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	10/28/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	10/28/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/12/2018	12/26/2018
Active	National Guardian Life Insurance Company	300596	Agent - Health	2/27/2018
Active	National Guardian Life Insurance Company	300596	Agent - Life	2/27/2018
Inactive	National Western Life Insurance Company	301515	Agent - Health	7/3/2002	10/31/2006
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/3/2002	10/31/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/11/2012	1/17/2017
Active	NorthStone Insurance Company	818905	Agent - Casualty	5/23/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/11/2004	3/29/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/11/2004	3/29/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008
Active	Old Republic Insurance Company	301225	Agent - Casualty	3/3/2023
Active	Omaha Health Insurance Company	301296	Agent - Health	5/24/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	5/31/2012	12/22/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/5/2008	3/8/2010
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	8/5/2008	7/17/2012
Inactive	Pacific Life Insurance Company	301848	Agent - Life	3/4/2002	8/19/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	3/4/2002	8/19/2009
Inactive	Pan-American Assurance Company	301533	Agent - Life	5/29/2003	12/31/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/29/2003	12/31/2004
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/7/2008
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	5/23/2021
Active	Principal National Life Insurance Company	301926	Agent - Life	9/21/2018
Active	ProSelect Insurance Company	826988	Agent - Casualty	9/10/2020
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/16/2013	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/16/2013	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	1/16/2013	11/23/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/25/2010	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/25/2010	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/28/2008	12/22/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/28/2008	12/22/2016
Active	RLI Insurance Company	301217	Agent - Casualty	6/17/2015
Active	RLI Insurance Company	301217	Agent - Property	6/17/2015
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/10/1997	12/22/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/10/1997	12/31/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/5/2008	10/6/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	10/23/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	10/23/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/1/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/1/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/1/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/1/2020
Inactive	Sage Life Assurance of America Inc.	301274	Agent - Life	3/11/2002	3/31/2003
Inactive	Sage Life Assurance of America Inc.	301274	Agent - Variable Life and Variable Annuities	3/11/2002	3/31/2003
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/5/2008	9/29/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/23/2006	9/9/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	6/21/2021	1/12/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	Southern Mutual Church Insurance Company	676676	Agent - Casualty	3/16/2021
Active	Southern Mutual Church Insurance Company	676676	Agent - Property	3/16/2021
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/27/2022
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/27/2022
Active	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/27/2022
Active	St. Paul Guardian Insurance Company	301372	Agent - Property	12/27/2022
Active	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/27/2022
Active	St. Paul Mercury Insurance Company	300783	Agent - Property	12/27/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/10/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	8/10/2021
Active	Standard Insurance Company	300185	Agent - Health	12/6/2010
Active	Standard Insurance Company	300185	Agent - Life	12/6/2010
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/13/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	1/13/2022
Active	SummitPoint Insurance Company	819084	Agent - Casualty	5/23/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	2/17/2012
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/17/2012
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/22/2015	10/1/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/22/2015	10/1/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	10/22/2015	10/1/2019
Active	The Phoenix Insurance Company	301502	Agent - Casualty	8/10/2021
Active	The Phoenix Insurance Company	301502	Agent - Property	8/10/2021
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	6/13/2013	12/19/2014
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	6/8/2018	4/26/2021
Inactive	Time Insurance Company	300683	Agent - Health	5/5/2015	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	5/5/2015	11/25/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/3/2008	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/3/2008	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Variable Life and Variable Annuities	7/3/2008	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Variable Life and Variable Annuities	10/1/2014	10/1/2020
Inactive	TravCo Insurance Company	301828	Agent - Casualty	1/5/2001	12/5/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	1/5/2001	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/5/2013
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/10/2021
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/10/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/10/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/10/2021
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/10/2021
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/10/2021
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/5/2001	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/5/2001	12/5/2013
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	8/10/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	8/10/2021
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/5/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/23/2006	9/9/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/23/2006	9/9/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/25/2010	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/25/2010	9/9/2015
Inactive	Unimerica Insurance Company	563724	Agent - Health	9/19/2008	12/15/2009
Inactive	Unimerica Insurance Company	563724	Agent - Life	9/19/2008	12/15/2009
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	9/7/1998	11/20/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	9/7/1998	11/20/2003
Inactive	United American Insurance Company	300910	Agent - Health	7/30/2012	10/31/2014
Inactive	United American Insurance Company	300910	Agent - Life	7/30/2012	10/31/2014
Active	United Fire & Casualty Company	301374	Agent - Casualty	6/22/2022
Active	United Fire & Casualty Company	301374	Agent - Property	6/22/2022
Inactive	United Home Insurance Company	736677	Agent - Casualty	11/3/2017	9/18/2023
Inactive	United Home Insurance Company	736677	Agent - Property	11/3/2017	9/18/2023
Inactive	United Investors Life Insurance Company	301873	Agent - Life	3/12/2002	1/24/2005
Inactive	United Investors Life Insurance Company	301873	Agent - Variable Life and Variable Annuities	3/12/2002	1/24/2005
Inactive	United World Life Insurance Company	300532	Agent - Health	12/5/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/3/2008	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/3/2008	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	6/3/2008	6/24/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/11/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/1/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/11/2022	12/22/2022
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
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/11/2022
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/3/2018
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/3/2018
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	8/14/2002	8/26/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	8/14/2002	8/26/2008
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/30/2021
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	9/17/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/12/2018
Active	West American Insurance Company	301112	Agent - Casualty	10/7/2008
Active	West American Insurance Company	301112	Agent - Property	10/7/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/31/2003	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	5/10/2008	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	5/10/2008	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	5/10/2008	10/1/2014
Inactive	Wilco Life Insurance Company	300122	Agent - Life	3/27/2002	10/21/2003
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	7/12/2004	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	2/18/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	First Liberty Financial Group, LLC	707399	Agent - Life	6/25/2009	3/31/2011
Inactive	First Liberty Financial Group, LLC	707399	Agent - Health	6/25/2009	3/31/2011
Inactive	First Liberty Financial Group, LLC	707399	Agent - Property	6/25/2009	3/31/2011
Inactive	First Liberty Financial Group, LLC	707399	Agent - Casualty	6/25/2009	3/31/2011
Active	HUB International Midwest Limited	398717	Agent - Life	5/11/2023
Active	HUB International Midwest Limited	398717	Agent - Health	5/11/2023
Active	HUB International Midwest Limited	398717	Agent - Property	5/11/2023
Active	HUB International Midwest Limited	398717	Agent - Casualty	5/11/2023
Inactive	JP Newco Inc.	545168	Agent - Life	10/18/2002	3/31/2006
Inactive	JP Newco Inc.	545168	Agent - Health	10/18/2002	3/31/2006
Inactive	Medlink Inc	400721	Agent - Life	5/14/2008	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	5/14/2008	3/31/2024
Denied	PBPH LLC	400798	Agent - Life
Denied	PBPH LLC	400798	Agent - Health
Denied	PCWM LLC	400797	Agent - Life
Denied	PCWM LLC	400797	Agent - Health
Denied	PMMC LLC	400205	Agent - Life
Denied	PMMC LLC	400205	Agent - Health
Denied	PRMC LLC	400204	Agent - Life
Denied	PRMC LLC	400204	Agent - Health
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	9/30/1999	3/31/2015
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	9/30/1999	3/31/2015
Inactive	Perennial Insurance Group LLC	398659	Agent - Property	1/13/2005	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Casualty	1/13/2005	10/29/2013
Active	Planchoice Inc.	400482	Agent - Life	5/8/2014
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014
Inactive	R & W Financial Services, LLC	669652	Agent - Life	12/12/2007	3/31/2009
Inactive	R & W Financial Services, LLC	669652	Agent - Health	12/12/2007	3/31/2009
Active	Riddle Insurance LLC	401239	Agent - Life	10/8/2020
Active	Riddle Insurance LLC	401239	Agent - Health	10/8/2020
Active	Riddle Insurance LLC	401239	Agent - Property	10/8/2020
Active	Riddle Insurance LLC	401239	Agent - Casualty	10/8/2020
Inactive	United Securities Alliance, Inc.	524470	Agent - Life	10/14/2002	11/10/2003
Inactive	United Securities Alliance, Inc.	524470	Agent - Health	10/14/2002	11/10/2003
Inactive	United Securities Alliance, Inc.	524470	Agent - Variable Life and Variable Annuities	10/14/2002	11/10/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	2/4/2002
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	2/18/2003
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	8/9/2001	2/4/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	5/6/1997	2/4/2002
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	5/6/1997	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Variable Life and Variable Annuities	7/10/2001	2/4/2002
Active	Worldwide Insurance Network LLC	517734	Agent - Property	11/21/2002
Active	Worldwide Insurance Network LLC	517734	Agent - Casualty	11/21/2002
Active	Worth Insurance Group INC	398245	Agent - Life	3/11/2022
Active	Worth Insurance Group INC	398245	Agent - Health	3/11/2022
Inactive	Worth Insurance Group INC	398245	Agent - Property	8/16/2002	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	8/16/2002	9/21/2021
Inactive	Worth Insurance Group LLC	684698	Agent - Life	7/11/2008	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Health	7/11/2008	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Property	2/12/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Casualty	2/12/2009	3/31/2010