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DEPARTMENT OF INSURANCE
Affiliations
Name
Fortney, Elizabeth Vernon
DOIID
380412
NAIC NPN
2753276
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
4/10/1987
1/31/2019
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
4/20/2001
1/31/2019
Inactive
Non Resident
Agent
Life
4/10/1987
1/31/2019
Inactive
Resident
Agent
Health Maintenance Organization
9/30/1988
3/1/2001
* 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.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc.
300694
Agent - Health
3/1/2001
12/31/2007
Inactive
Aetna Health Inc.
300694
Agent - Health Maintenance Organization
4/27/2000
3/1/2001
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
1/31/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Health
4/27/2000
1/31/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Life
4/27/2000
1/31/2019
Inactive
All Savers Insurance Company
301940
Agent - Health
5/11/2015
5/2/2018
Inactive
All Savers Insurance Company
301940
Agent - Life
5/11/2015
5/2/2018
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
2/20/1996
9/24/2018
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
2/20/1996
9/24/2018
Inactive
American General Life Insurance Company
301585
Agent - Health
6/28/2008
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Life
6/28/2008
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
6/28/2008
12/20/2013
Inactive
American States Life Insurance Company
301884
Agent - Health
5/14/1998
12/6/2004
Inactive
American States Life Insurance Company
301884
Agent - Life
5/14/1998
12/6/2004
Inactive
American United Life Insurance Company
300498
Agent - Health
10/1/2008
1/31/2019
Inactive
American United Life Insurance Company
300498
Agent - Life
10/1/2008
1/31/2019
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
4/1/2002
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
4/21/1993
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
2/11/2000
1/31/2019
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/11/2000
1/31/2019
Inactive
Assurity Life Insurance Company
301099
Agent - Health
11/5/2015
11/28/2016
Inactive
Assurity Life Insurance Company
301099
Agent - Life
11/5/2015
11/28/2016
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
1/26/1994
9/5/2006
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
1/26/1994
9/5/2006
Inactive
Banner Life Insurance Company
301696
Agent - Life
6/12/2009
10/7/2017
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
5/3/2001
1/31/2019
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
9/11/2000
7/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
9/11/2000
7/1/2001
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
10/15/2014
1/31/2019
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
10/15/2014
1/31/2019
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/25/1997
8/3/1999
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/25/1997
8/3/1999
Inactive
Centre Life Insurance Company
300341
Agent - Health
11/11/1997
3/31/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
8/3/1993
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
8/3/1993
3/31/1997
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
7/31/2006
1/10/2012
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
7/31/2006
1/10/2012
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
10/23/2007
12/8/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
10/23/2007
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
10/23/2007
7/2/2013
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
2/12/1997
12/31/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
2/12/1997
12/31/1998
Inactive
Dental Care Plus Inc.
301495
Agent - Health
7/25/2016
3/15/2019
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
4/20/2018
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Health
3/6/1998
5/23/2003
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
7/10/2009
3/7/2011
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
7/10/2009
10/27/2014
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
7/8/2005
3/27/2019
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
7/8/2005
3/27/2019
Inactive
First Colony Life Insurance Company
301179
Agent - Life
4/8/1999
1/1/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/11/2015
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/11/2015
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
9/3/2009
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
9/3/2009
12/7/2012
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
1/8/1998
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
1/8/1998
9/8/2000
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
10/15/2014
1/31/2019
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
10/15/2014
1/31/2019
Inactive
HCC Life Insurance Company
301827
Agent - Health
9/8/2010
10/2/2012
Inactive
HCC Life Insurance Company
301827
Agent - Life
9/8/2010
10/2/2012
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
3/26/2013
3/4/2019
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
3/26/2013
3/4/2019
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
12/16/2016
2/23/2018
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
4/20/2018
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
9/30/1988
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
4/7/1995
4/20/2018
Inactive
Humana Insurance Company
301104
Agent - Life
4/7/1995
4/20/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/30/2004
4/20/2018
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/30/2004
4/20/2018
Inactive
HumanaDental Insurance Company
301457
Agent - Health
11/26/2008
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
11/26/2008
5/13/2013
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
4/29/2002
12/11/2003
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
4/29/2002
12/11/2003
Inactive
Inter-State Assurance Company
301556
Agent - Life
9/17/1996
2/14/2002
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
7/2/2007
Inactive
John Alden Life Insurance Company
300573
Agent - Health
4/18/2011
1/24/2013
Inactive
John Alden Life Insurance Company
300573
Agent - Life
4/18/2011
1/24/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
5/6/2013
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
4/25/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/8/2015
6/27/2017
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/8/2015
6/27/2017
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/8/2015
6/27/2017
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
2/15/1999
4/9/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
2/15/1999
4/9/2001
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
10/23/2013
11/15/2017
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
6/13/1990
8/3/1999
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
6/13/1990
8/3/1999
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
5/13/1996
11/17/2016
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
5/13/1996
11/17/2016
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
4/24/1998
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
4/24/1998
3/31/2001
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/29/2002
7/11/2003
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
1/18/2003
2/13/2018
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
9/5/1996
6/5/1998
Inactive
Pan-American Assurance Company
301533
Agent - Health
12/31/1998
9/29/2004
Inactive
Pan-American Assurance Company
301533
Agent - Life
12/31/1998
9/29/2004
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
12/31/1998
9/29/2004
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
12/31/1998
9/29/2004
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
8/29/1995
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
8/29/1995
8/24/2000
Inactive
Principal Life Insurance Company
300129
Agent - Health
4/10/1987
1/31/2019
Inactive
Principal Life Insurance Company
300129
Agent - Life
4/10/1987
1/31/2019
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/13/2015
1/31/2019
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/13/2015
1/31/2019
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
4/13/2015
1/31/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/4/2011
1/31/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/4/2011
1/31/2019
Inactive
Pruco Life Insurance Company
300954
Agent - Life
4/16/2015
11/27/2017
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
3/16/1994
1/3/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
3/16/1994
1/3/2003
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
3/28/2011
2/27/2016
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
3/28/2011
2/27/2016
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
3/28/2011
2/27/2016
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Health
4/17/2009
1/31/2019
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
4/17/2009
1/31/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
3/28/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
3/28/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
3/28/2011
9/29/2012
Inactive
Standard Insurance Company
300185
Agent - Health
5/4/2005
1/31/2019
Inactive
Standard Insurance Company
300185
Agent - Life
5/4/2005
1/31/2019
Inactive
Symetra Life Insurance Company
301691
Agent - Health
6/2/1993
12/28/2004
Inactive
Symetra Life Insurance Company
301691
Agent - Life
6/2/1993
12/28/2004
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
4/20/2001
12/28/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/20/2004
1/28/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/20/2004
1/28/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/25/2004
1/28/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
2/20/2004
1/28/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/20/2004
1/28/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/25/2004
1/28/2009
Inactive
Time Insurance Company
300683
Agent - Health
10/30/2012
12/20/2014
Inactive
Time Insurance Company
300683
Agent - Life
10/30/2012
12/20/2014
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
6/12/1998
12/4/2001
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
6/12/1998
12/4/2001
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/4/2011
1/31/2019
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/4/2011
1/31/2019
Inactive
Union Security Insurance Company
301844
Agent - Health
12/27/2000
12/28/2007
Inactive
Union Security Insurance Company
301844
Agent - Life
12/27/2000
12/28/2007
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
3/29/2017
2/12/2018
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/29/2017
2/12/2018
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/2/2003
12/12/2009
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
3/1/2001
12/12/2009
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health Maintenance Organization
1/9/1998
3/1/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
6/8/2007
8/28/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
6/8/2007
8/28/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
6/8/2007
8/28/2008
Inactive
Washington National Insurance Company
300587
Agent - Health
5/25/1995
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
5/25/1995
3/31/1997
Inactive
Wellpoint Life and Health Insurance Company
300469
Agent - Health
6/13/1990
3/31/1997
Inactive
Wellpoint Life and Health Insurance Company
300469
Agent - Life
6/13/1990
3/31/1997
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/23/2004
11/16/2011
Inactive
Wilcac Life Insurance Company
301573
Agent - Health
3/16/1994
11/17/2000
Inactive
Wilcac Life Insurance Company
301573
Agent - Life
3/16/1994
11/17/2000
Inactive
300277
Agent - Life
3/18/2004
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
11/3/1999
6/21/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
11/3/1999
6/21/2008
Inactive
Assuredpartners NL, LLC
762387
Agent - Life
1/22/2015
1/31/2019
Inactive
Assuredpartners NL, LLC
762387
Agent - Health
1/22/2015
1/31/2019
Inactive
CBISA Reaquisitian Corp
547026
Agent - Life
12/20/2002
1/31/2019
Inactive
CBISA Reaquisitian Corp
547026
Agent - Health
12/20/2002
1/31/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/5/2013
1/31/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/5/2013
1/31/2019
Inactive
Hukill Hazlett Harrington Agency, Inc.
521674
Agent - Life
9/27/2005
3/31/2017
Inactive
Hukill Hazlett Harrington Agency, Inc.
521674
Agent - Health
9/27/2005
3/31/2017
Inactive
Insurance One Inc.
399840
Agent - Life
10/21/1991
5/31/2004
Inactive
Insurance One Inc.
399840
Agent - Health
10/21/1991
5/31/2004
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