DEPARTMENT OF INSURANCE

Affiliations

Name	Stivers, Ronald Wayne	DOIID	367302	NAIC NPN	1488603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/15/1986	8/1/2019
Inactive	Resident	Agent	Life	8/15/1986	8/1/2019
Inactive	Resident	Agent	Health Maintenance Organization	11/1/1996	3/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	6/11/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/11/2002	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/11/2002	7/30/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/25/1996	2/3/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/25/1996	2/3/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/7/2008	8/1/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/7/2008	8/1/2019
Inactive	American National Insurance Company	301861	Agent - Health	4/10/1992	1/15/1999
Inactive	American National Insurance Company	301861	Agent - Life	4/10/1992	1/15/1999
Inactive	American United Life Insurance Company	300498	Agent - Health	6/9/2004	8/1/2019
Inactive	American United Life Insurance Company	300498	Agent - Life	6/9/2004	8/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	1/18/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	1/18/2019
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	12/8/1998	10/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/8/1998	10/10/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	1/26/1994	4/11/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	1/26/1994	4/11/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	11/1/1996	3/31/1997
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	10/13/2003	8/1/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/20/1993	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	4/20/1993	4/9/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	8/29/1994	8/1/2019
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	8/29/1994	8/1/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/11/1991	6/25/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/11/1991	6/25/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/15/2012	12/8/2015
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/15/1986	12/31/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/15/1986	12/31/1998
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/13/2003	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/13/2003	6/11/2014
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	11/16/1993	3/31/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	11/16/1993	3/31/1999
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/13/2016
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	3/28/1998	1/26/2007
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	3/28/1998	1/26/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Health	11/19/1993	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/19/1993	7/14/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	5/31/2000	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	5/31/2000	12/23/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/4/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/18/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/18/2005	12/13/2012
Inactive	HCC Life Insurance Company	301827	Agent - Health	11/24/1997	1/30/2003
Inactive	HCC Life Insurance Company	301827	Agent - Life	11/24/1997	1/30/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/8/2001	8/30/2019
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/8/2001	8/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/24/2018	4/9/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/7/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/14/1995	4/9/2019
Inactive	Humana Insurance Company	300118	Agent - Health	3/7/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	7/14/1995	4/9/2019
Inactive	Humana Insurance Company	300118	Agent - Life	3/7/1997	12/31/1998
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/17/2018	4/9/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/17/2018	4/9/2019
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/8/1991	12/17/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/8/1991	12/17/2002
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	9/23/1994	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	9/23/1994	4/9/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/23/1992	11/13/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/23/1992	11/13/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/5/2002	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/5/2002	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	10/22/2015
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	7/19/2007	10/29/2010
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	7/19/2007	10/29/2010
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/14/2003	7/31/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/14/2003	7/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/27/2010	8/1/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/27/2010	8/1/2019
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	5/16/1994	3/31/1997
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	5/16/1994	3/31/1997
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Health	10/21/1993	3/31/1997
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Life	10/21/1993	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/21/1993	10/16/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/21/1993	10/16/2006
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/11/1994	3/23/1999
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/11/1994	3/23/1999
Inactive	National Health Insurance Company	300554	Agent - Health	10/19/1994	5/28/1996
Inactive	National Health Insurance Company	300554	Agent - Life	10/19/1994	5/28/1996
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/5/1994	3/19/1999
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/5/1994	3/19/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/2/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/2/1999	8/24/2000
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	8/18/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	8/18/1994	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/26/1995	8/1/2019
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/26/1995	8/1/2019
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	12/20/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/20/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/2/1999	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/2/1999	11/10/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	7/7/1993	12/31/1998
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	7/7/1993	12/31/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/10/1992	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/10/1992	3/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/12/1996	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/12/1996	3/31/2009
Inactive	Standard Insurance Company	300185	Agent - Health	8/6/2010	8/1/2019
Inactive	Standard Insurance Company	300185	Agent - Life	8/6/2010	8/1/2019
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	5/20/1996	8/31/1999
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	5/20/1996	8/31/1999
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	5/15/2007	8/1/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	5/15/2007	8/1/2019
Inactive	Time Insurance Company	300683	Agent - Health	1/5/1999	1/31/2005
Inactive	Time Insurance Company	300683	Agent - Life	1/5/1999	1/31/2005
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/29/1994	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/29/1994	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Health	6/13/1995	3/31/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	6/13/1995	3/31/1997
Inactive	Union Central Life Insurance Company	300307	Agent - Health	6/20/1995	4/4/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/20/1995	4/4/2006
Inactive	United Insurance Company of America	300775	Agent - Health	4/1/1997	12/31/2002
Inactive	United Insurance Company of America	300775	Agent - Life	4/1/1997	12/31/2002
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/2/2010	8/1/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/2/2010	8/1/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/13/1998	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/13/1998	12/14/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/17/2007	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/17/2007	6/11/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	4/13/1998	3/1/2001
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	11/16/1993	12/31/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	11/16/1993	12/31/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Health	11/2/1994	4/2/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/2/1994	4/2/2001
Inactive		300277	Agent - Health	9/23/1998	1/1/2007
Inactive		300277	Agent - Life	9/23/1998	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	Arison Insurance Services, Inc.	401001	Agent - Life	1/19/1999	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/19/1999	2/28/2003
Inactive	Cimeley & Associates Inc.	398428	Agent - Life	7/16/1991	5/31/2004
Inactive	Cimeley & Associates Inc.	398428	Agent - Health	7/16/1991	5/31/2004
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/25/2005	8/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	1/18/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	1/18/2019
Inactive	Samsil & Holland, LLC	510802	Agent - Life	7/14/2000	8/1/2019
Inactive	Samsil & Holland, LLC	510802	Agent - Health	7/14/2000	8/1/2019
Inactive	Stivers Financial Group Inc.	399253	Agent - Life	11/14/1994	5/31/2004
Inactive	Stivers Financial Group Inc.	399253	Agent - Health	11/14/1994	5/31/2004
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003