DEPARTMENT OF INSURANCE
Affiliations
NameStivers, Jody WayneDOIID371608NAIC NPN3650939
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentPersonal Lines   
InactiveResidentAgentGeneral Lines6/19/19968/15/2000 
InactiveResidentAgentHealth Maintenance Organization11/1/19963/31/1997 
Pending ReplacementResidentAgentCasualty8/15/2000 10/31/2027
Pending ReplacementResidentAgentHealth6/11/2002 10/31/2027
Pending ReplacementResidentAgentLife6/11/2002 10/31/2027
Pending ReplacementResidentAgentProperty8/15/2000 10/31/2027
Pending ReplacementResidentLife & Health ConsultantNot Applicable9/16/2010 10/31/2027
Pending ReplacementResidentSurplus Lines BrokerNot Applicable2/18/2021 10/31/2027
* 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
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health8/19/2016 
Pending ReplacementAetna Life Insurance Company301140Agent - Health8/19/2016 
Pending ReplacementAetna Life Insurance Company301140Agent - Life8/19/2016 
Pending ReplacementAll Savers Insurance Company301940Agent - Health9/14/2022 
Pending ReplacementAll Savers Insurance Company301940Agent - Life9/14/2022 
Pending ReplacementAmFirst 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
Pending ReplacementAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/22/2014 
Pending ReplacementAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/22/2014 
Pending ReplacementAmerican United Life Insurance Company300498Agent - Health8/14/2008 
Pending ReplacementAmerican United Life Insurance Company300498Agent - Life8/14/2008 
Pending ReplacementAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/14/2025 
InactiveAnthem Life Insurance Company301209Agent - Health8/1/20234/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life8/1/20234/15/2025
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
InactiveBristol West Insurance Company301655Agent - Casualty12/1/202012/20/2024
InactiveBristol West Insurance Company301655Agent - Property12/1/202012/20/2024
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
Pending ReplacementCIGNA Dental Health of Kentucky, Inc.300904Agent - Health10/13/2003 
Pending ReplacementCIGNA Health & Life Insurance Company301783Agent - Health8/13/2025 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/17/2025
Pending ReplacementCincinnati Life Insurance Company (The)300601Agent - Life2/7/2022 
Pending ReplacementColonial Life and Accident Insurance Company300846Agent - Health5/29/2020 
Pending ReplacementColonial 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
Pending ReplacementCompanion Life Insurance Company300191Agent - Health9/29/2014 
Pending ReplacementCompanion 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
InactiveContinental American Insurance Company301700Agent - Health8/13/202011/12/2024
InactiveContinental American Insurance Company301700Agent - Life8/13/202011/12/2024
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
Pending ReplacementDental Concern Inc. (The)301641Agent - Health10/15/2021 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/1/201912/13/2021
Pending ReplacementFidelity Security Life Insurance Company300466Agent - Health4/4/2014 
Pending ReplacementFidelity 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
InactiveForethought Life Insurance Company301407Agent - Health7/17/201712/15/2025
InactiveForethought Life Insurance Company301407Agent - Life7/17/201712/15/2025
InactiveGolden Rule Insurance Company301943Agent - Health10/18/200512/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life10/18/200512/13/2012
Pending ReplacementGuardian Life Insurance Company of America301316Agent - Health8/24/2011 
Pending ReplacementGuardian Life Insurance Company of America301316Agent - Life8/24/2011 
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Health5/22/2003 
Pending ReplacementHartford Life and Accident Insurance Company300878Agent - Life5/22/2003 
Pending ReplacementHealthSpring National Health Insurance Company300235Agent - Health11/6/2025 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/20/202112/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/28/202112/12/2024
Pending ReplacementHumana Health Plan, Inc.300142Agent - Health6/11/2002 
InactiveHumana Insurance Company301104Agent - Health6/11/200212/12/2024
InactiveHumana Insurance Company301104Agent - Life6/11/200212/12/2024
Pending ReplacementHumana Insurance Company of Kentucky300826Agent - Health12/30/2020 
Pending ReplacementHumana Insurance Company of Kentucky300826Agent - Life12/30/2020 
InactiveHumana Medical Plan, Inc.801568Agent - Health4/20/202112/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/20/202112/12/2024
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
Pending ReplacementLife Insurance Company of North America300711Agent - Life6/2/2015 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Health7/24/2014 
Pending ReplacementLincoln 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
Pending ReplacementMetropolitan Life Insurance Company301948Agent - Health8/10/2020 
Pending ReplacementMetropolitan Life Insurance Company301948Agent - Life8/10/2020 
Pending ReplacementMutual of Omaha Insurance Company301012Agent - Health10/4/2012 
Pending ReplacementNational Health Insurance Company300554Agent - Health4/2/2024 
Pending ReplacementNational Health Insurance Company300554Agent - Life4/2/2024 
Pending ReplacementNational Western Life Insurance Company301515Agent - Life9/16/2019 
Pending ReplacementNationwide Life Insurance Company300495Agent - Health5/27/2026 
Pending ReplacementNationwide Life Insurance Company300495Agent - Life5/27/2026 
InactiveOmaha Insurance Company751908Agent - Health10/4/20128/8/2018
Pending ReplacementPan-American Life Insurance Company301530Agent - Health4/26/2023 
Pending ReplacementPan-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
Pending ReplacementPrincipal Life Insurance Company300129Agent - Health6/11/2002 
Pending ReplacementPrincipal Life Insurance Company300129Agent - Life6/11/2002 
Pending ReplacementProvident Life and Accident Insurance Company301525Agent - Health7/1/2022 
Pending ReplacementProvident 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
Pending ReplacementReliance 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
Pending ReplacementStandard Life and Accident Insurance Company301534Agent - Health12/13/2017 
InactiveStarmount Life Insurance Company628031Agent - Health7/1/202210/1/2026
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
Pending ReplacementSun Life Assurance Company of Canada301811Agent - Health10/15/2012 
Pending ReplacementSun Life Assurance Company of Canada301811Agent - Life10/15/2012 
Pending ReplacementSymetra Life Insurance Company301691Agent - Health9/18/2025 
Pending ReplacementSymetra Life Insurance Company301691Agent - Life9/18/2025 
InactiveTime Insurance Company300683Agent - Health6/11/20021/31/2005
InactiveTime Insurance Company300683Agent - Life6/11/20021/31/2005
Pending ReplacementTransamerica Life Insurance Company300571Agent - Health9/3/2016 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Life9/3/2016 
Pending ReplacementTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty7/19/2023 
Pending ReplacementTravelers Indemnity Company of Connecticut (The)301591Agent - Property7/19/2023 
Pending ReplacementTravelers Property Casualty Company of America301649Agent - Casualty7/19/2023 
Pending ReplacementTravelers Property Casualty Company of America301649Agent - Property7/19/2023 
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Health7/1/2022 
Pending ReplacementUNUM Life Insurance Company of America300817Agent - Life7/1/2022 
Pending ReplacementUnited of Omaha Life Insurance Company300156Agent - Health7/2/2010 
Pending ReplacementUnited of Omaha Life Insurance Company300156Agent - Life7/2/2010 
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/17/20212/17/2025
Pending ReplacementUnitedHealthcare 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
Pending ReplacementUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/18/2025 
Pending ReplacementUnitedHealthcare of Ohio, Inc.300493Agent - Health2/18/2025 
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/20212/17/2025
Pending ReplacementUnum Insurance Company301499Agent - Health7/1/2022 
Pending ReplacementUnum Insurance Company301499Agent - Life7/1/2022 
Pending ReplacementVision 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
Pending ReplacementDental Choice Agency Inc.398085Agent - Health8/25/2005 
InactiveDesignated Agent Company Inc.681257Agent - Life12/11/20133/13/2026
InactiveDesignated Agent Company Inc.681257Agent - Health12/11/20133/13/2026
InactiveHollandstivers Employer Solutions LLC1073922Agent - Life2/11/20203/31/2026
InactiveHollandstivers Employer Solutions LLC1073922Agent - Health2/11/20203/31/2026
InactiveHollandstivers Employer Solutions LLC1073922Agent - Property12/1/20203/31/2026
InactiveHollandstivers Employer Solutions LLC1073922Agent - Casualty12/1/20203/31/2026
InactiveHollandstivers Employer Solutions LLC1073922Life & Health Consultant - Not Applicable4/5/20223/31/2026
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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