DEPARTMENT OF INSURANCE
Affiliations
NameStivers, Jody WayneDOIID371608NAIC NPN3650939
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth6/11/2002 10/31/2025
ActiveResidentAgentCasualty8/15/2000 10/31/2025
ActiveResidentAgentProperty8/15/2000 10/31/2025
ActiveResidentAgentLife6/11/2002 10/31/2025
DeniedResidentAgentPersonal Lines   
InactiveResidentAgentGeneral Lines6/19/19968/15/2000 
InactiveResidentAgentHealth Maintenance Organization11/1/19963/31/1997 
ActiveResidentLife & Health ConsultantNot Applicable9/16/2010 10/31/2025
ActiveResidentSurplus Lines BrokerNot Applicable2/18/2021 10/31/2025
* 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
InactiveAetna Health Inc.300694Agent - Health6/27/200312/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health8/19/2016 
ActiveAetna Life Insurance Company301140Agent - Health8/19/2016 
ActiveAetna Life Insurance Company301140Agent - Life8/19/2016 
ActiveAll Savers Insurance Company301940Agent - Health9/14/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/14/2022 
ActiveAmFirst Insurance Company999525Agent - Health7/9/2019 
InactiveAmerican Continental Insurance Company643130Agent - Health12/11/201211/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life12/11/201212/6/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life11/27/20184/18/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/22/2014 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/22/2014 
ActiveAmerican United Life Insurance Company300498Agent - Health8/14/2008 
ActiveAmerican United Life Insurance Company300498Agent - Life8/14/2008 
ActiveAnthem Life Insurance Company301209Agent - Health8/1/2023 
ActiveAnthem Life Insurance Company301209Agent - Life8/1/2023 
InactiveAthene Annuity and Life Company301893Agent - Life7/12/201712/20/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/24/201110/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/24/201110/12/2020
ActiveBristol West Insurance Company301655Agent - Casualty12/1/2020 
ActiveBristol West Insurance Company301655Agent - Property12/1/2020 
InactiveC.M. Life Insurance Company301335Agent - Health2/11/19971/8/2004
InactiveC.M. Life Insurance Company301335Agent - Life2/11/19971/8/2004
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization11/1/19963/31/1997
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health10/13/2003 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/7/2022 
ActiveColonial Life and Accident Insurance Company300846Agent - Health5/29/2020 
ActiveColonial Life and Accident Insurance Company300846Agent - Life5/29/2020 
InactiveCombined Insurance Company of America301472Agent - Health6/10/20144/13/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health9/28/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health1/3/202012/15/2020
InactiveCompBenefits Insurance Company301864Agent - Life12/28/20097/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health9/29/2014 
ActiveCompanion Life Insurance Company300191Agent - Life9/29/2014 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/13/20036/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life10/13/20036/11/2014
ActiveContinental American Insurance Company301700Agent - Health8/13/2020 
ActiveContinental American Insurance Company301700Agent - Life8/13/2020 
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/19/20166/15/2022
InactiveDelaware Life Insurance Company301256Agent - Health10/31/201911/21/2022
InactiveDelaware Life Insurance Company301256Agent - Life10/31/201911/21/2022
ActiveDental Concern Inc. (The)301641Agent - Health10/15/2021 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/1/201912/13/2021
ActiveFidelity Security Life Insurance Company300466Agent - Health4/4/2014 
ActiveFidelity Security Life Insurance Company300466Agent - Life4/4/2014 
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health6/11/200212/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/11/200212/23/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/1/202012/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/1/202012/20/2023
ActiveForethought Life Insurance Company301407Agent - Health7/17/2017 
ActiveForethought Life Insurance Company301407Agent - Life7/17/2017 
InactiveGolden Rule Insurance Company301943Agent - Health10/18/200512/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life10/18/200512/13/2012
ActiveGuardian Life Insurance Company of America301316Agent - Health8/24/2011 
ActiveGuardian Life Insurance Company of America301316Agent - Life8/24/2011 
ActiveHartford Life and Accident Insurance Company300878Agent - Health5/22/2003 
ActiveHartford Life and Accident Insurance Company300878Agent - Life5/22/2003 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/20/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health1/28/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health6/11/2002 
ActiveHumana Insurance Company301104Agent - Health6/11/2002 
ActiveHumana Insurance Company301104Agent - Life6/11/2002 
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/30/2020 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/20/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/20/2021 
InactiveHumanaDental Insurance Company301457Agent - Health11/17/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life11/17/20092/23/2012
InactiveInvestors Life Insurance Company of Indiana301657Agent - Health8/28/19953/18/2002
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life8/28/19953/18/2002
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/24/20104/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/8/202210/8/2023
InactiveKanawha Insurance Company300127Agent - Health8/25/20161/22/2018
InactiveKanawha Insurance Company300127Agent - Life8/25/20161/22/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health9/26/201310/29/2015
InactiveLafayette Life Insurance Company (The)301039Agent - Health3/14/20038/3/2009
InactiveLafayette Life Insurance Company (The)301039Agent - Life3/14/20038/3/2009
ActiveLife Insurance Company of North America300711Agent - Life6/2/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/24/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/24/2014 
InactiveMML Bay State Life Insurance Company301198Agent - Health6/11/20025/8/2006
InactiveMML Bay State Life Insurance Company301198Agent - Life6/11/20025/8/2006
InactiveMadison National Life Insurance Company Inc.301458Agent - Health4/14/201012/17/2019
InactiveMadison National Life Insurance Company Inc.301458Agent - Life4/14/201012/17/2019
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/6/19951/8/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/6/19951/8/2004
InactiveMedico Insurance Company301559Agent - Health12/11/201212/26/2014
InactiveMedico Insurance Company301559Agent - Life12/11/201212/26/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health8/10/2020 
ActiveMetropolitan Life Insurance Company301948Agent - Life8/10/2020 
ActiveMutual of Omaha Insurance Company301012Agent - Health10/4/2012 
ActiveNational Health Insurance Company300554Agent - Health4/2/2024 
ActiveNational Health Insurance Company300554Agent - Life4/2/2024 
ActiveNational Western Life Insurance Company301515Agent - Life9/16/2019 
InactiveOmaha Insurance Company751908Agent - Health10/4/20128/8/2018
ActivePan-American Life Insurance Company301530Agent - Health4/26/2023 
ActivePan-American Life Insurance Company301530Agent - Life4/26/2023 
InactivePaul Revere Life Insurance Company300971Agent - Health2/2/19998/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life2/2/19998/24/2000
ActivePrincipal Life Insurance Company300129Agent - Health6/11/2002 
ActivePrincipal Life Insurance Company300129Agent - Life6/11/2002 
ActiveProvident Life and Accident Insurance Company301525Agent - Health7/1/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life7/1/2022 
InactivePrudential Insurance Company of America300784Agent - Health12/20/201012/21/2022
InactivePrudential Insurance Company of America300784Agent - Life12/20/201012/21/2022
ActiveReliance Standard Life Insurance Company300584Agent - Life7/5/2017 
InactiveSILAC Insurance Company300535Agent - Health8/12/201612/8/2016
InactiveSILAC Insurance Company300535Agent - Life8/12/201612/8/2016
InactiveStandard Insurance Company300185Agent - Health4/19/202112/5/2022
InactiveStandard Insurance Company300185Agent - Life4/19/202112/5/2022
ActiveStandard Life and Accident Insurance Company301534Agent - Health12/13/2017 
ActiveStarmount Life Insurance Company628031Agent - Health7/1/2022 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20005/30/2003
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines6/19/19968/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20005/30/2003
ActiveSun Life Assurance Company of Canada301811Agent - Health10/15/2012 
ActiveSun Life Assurance Company of Canada301811Agent - Life10/15/2012 
InactiveTime Insurance Company300683Agent - Health6/11/20021/31/2005
InactiveTime Insurance Company300683Agent - Life6/11/20021/31/2005
ActiveTransamerica Life Insurance Company300571Agent - Health9/3/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life9/3/2016 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty7/19/2023 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property7/19/2023 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty7/19/2023 
ActiveTravelers Property Casualty Company of America301649Agent - Property7/19/2023 
ActiveUNUM Life Insurance Company of America300817Agent - Health7/1/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life7/1/2022 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health7/2/2010 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life7/2/2010 
ActiveUnitedHealthcare Insurance Company300946Agent - Health1/17/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/14/2022 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/17/202112/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/2/20036/11/2007
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/2/20036/11/2007
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/14/2022 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/14/2022 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/2021 
ActiveUnum Insurance Company301499Agent - Health7/1/2022 
ActiveUnum Insurance Company301499Agent - Life7/1/2022 
ActiveVision Service Plan Insurance Company300526Agent - Health10/5/2022 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/11/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life1/19/19992/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health1/19/19992/28/2003
ActiveDental Choice Agency Inc.398085Agent - Health8/25/2005 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Life2/11/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Health2/11/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Property12/1/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Casualty12/1/2020 
ActiveHollandstivers Employer Solutions LLC1073922Life & Health Consultant - Not Applicable4/5/2022 
DeniedHollandstivers Employer Solutions LLC1073922Agent - Personal Lines  
InactiveHollandstivers Employer Solutions LLC1073922Surplus Lines Broker - Not Applicable2/23/20213/31/2024
InactiveSamsil & Holland, LLC510802Agent - Life6/11/200211/29/2022
InactiveSamsil & Holland, LLC510802Agent - Health6/11/200211/29/2022
InactiveSamsil & Holland, LLC510802Life & Health Consultant - Not Applicable11/23/20104/5/2022
InactiveStivers Financial Group Inc.399253Agent - Life6/9/19955/31/2004
InactiveStivers Financial Group Inc.399253Agent - Health6/9/19955/31/2004

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