DEPARTMENT OF INSURANCE

Affiliations

Name	American Insurance Administrators Llc	DOIID	395814	NAIC NPN	765507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	2/11/2016	7/6/2018
Active	Non Resident	Agent	Property	6/13/2023		3/31/2027
Active	Non Resident	Agent	Life	6/29/2006		3/31/2027
Active	Non Resident	Agent	Casualty	6/13/2023		3/31/2027
Active	Non Resident	Agent	Health	6/29/2006		3/31/2027
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/29/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/29/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	8/29/2024
Inactive	American General Assurance Company	300586	Agent - Health	3/31/2011	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	3/31/2011	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Health	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Life	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/16/2008	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/16/2008	12/31/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/27/2007	3/1/2013
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/27/2007	3/1/2013
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	5/20/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/29/2024
Inactive	Time Insurance Company	300683	Agent - Health	5/2/2011	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/2/2011	12/20/2014
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	4/20/2011
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	4/20/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Barlow, Maria	821007	Agent - Health
Denied	Barlow, Maria	821007	Agent - Life
Active	Connor Becher, Elissa Beth	537391	Agent - Health	6/29/2006
Active	Connor Becher, Elissa Beth	537391	Agent - Life	6/29/2006
Inactive	Coulter, Glenn Montgomery	821300	Agent - Health	12/13/2013	12/9/2014
Inactive	Coulter, Glenn Montgomery	821300	Agent - Life	6/18/2014	12/9/2014
Inactive	Gallagher, James Patrick	539991	Administrator - Not Applicable	5/19/2011	10/31/2015
Inactive	Gallagher, James Patrick	539991	Agent - Health	1/30/2007	5/20/2015
Inactive	Gallagher, James Patrick	539991	Agent - Life	1/30/2007	5/20/2015
Inactive	Garrett-Tackett, Lisa Marie	821307	Agent - Health	12/13/2013	6/21/2017
Inactive	Garrett-Tackett, Lisa Marie	821307	Agent - Life	6/16/2014	6/21/2017
Inactive	McMahon, Todd C	717008	Administrator - Not Applicable	2/11/2016	7/6/2018
Active	McMahon, Todd C	717008	Agent - Casualty	6/13/2023
Active	McMahon, Todd C	717008	Agent - Health	1/5/2016
Active	McMahon, Todd C	717008	Agent - Life	5/20/2015
Active	McMahon, Todd C	717008	Agent - Property	6/13/2023
Inactive	Miller, Sandra Lee	825045	Agent - Health	6/12/2014	7/24/2015
Inactive	Miller, Sandra Lee	825045	Agent - Life	6/12/2014	7/24/2015
Active	Montgomery, Joan M	866738	Agent - Health	10/23/2016
Active	Montgomery, Joan M	866738	Agent - Life	10/23/2016
Denied	Mullett, Robert J	358976	Agent - Health
Denied	Mullett, Robert J	358976	Agent - Life
Inactive	Murphy, Barbara Ellen	825096	Agent - Health	6/12/2014	5/26/2017
Inactive	Murphy, Barbara Ellen	825096	Agent - Life	6/12/2014	5/26/2017
Active	Porreca, Daria A	791064	Agent - Health	12/27/2012
Active	Porreca, Daria A	791064	Agent - Life	7/19/2017
Denied	Rehmert, Nicolle Michelle	840764	Agent - Health
Denied	Rehmert, Nicolle Michelle	840764	Agent - Life
Inactive	Super, Philip John	542851	Administrator - Not Applicable	2/25/2008	5/19/2011
Inactive	Super, Philip John	542851	Agent - Health	6/29/2006	5/19/2011
Inactive	Super, Philip John	542851	Agent - Life	6/29/2006	5/19/2011
Inactive	Tiburzio, Nancy C	328822	Administrator - Not Applicable	5/5/1989	11/30/2004
Inactive	Witt, Linda Rebecca	828426	Agent - Health	12/13/2013	11/24/2015
Denied	Xu, Xingchen	838315	Agent - Health
Denied	Xu, Xingchen	838315	Agent - Life
Inactive	Zink, Alan Edward	361093	Administrator - Not Applicable	2/27/1989	6/30/2006
Inactive	Zink, Louise B.	360569	Administrator - Not Applicable	2/27/1989	3/31/1999