DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Ins Marketing Inc	DOIID	398449	NAIC NPN	7220901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/31/2001		3/31/2026
Active	Resident	Agent	Health	9/13/1991		3/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	6/27/1988	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	9/8/1994	3/1/2001
Active	Resident	Life & Health Consultant	Not Applicable	2/24/2017		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Life & Health Consultant	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	4 Ever Life Insurance Company	301307	Agent - Health	10/18/2017
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/30/1993	12/1/2000
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/25/2017	7/26/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/25/2017	7/26/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/25/2017	7/26/2022
Inactive	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Health	8/28/1991	8/1/2000
Inactive	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	8/28/1991	8/1/2000
Active	All Savers Insurance Company	301940	Agent - Health	12/1/2016
Active	All Savers Insurance Company	301940	Agent - Life	12/1/2016
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/7/2006
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/7/2006
Active	American Fidelity Assurance Company	301004	Agent - Health	1/15/2024
Active	American Fidelity Assurance Company	301004	Agent - Life	1/15/2024
Inactive	American General Assurance Company	300586	Agent - Health	9/23/2003	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	9/23/2003	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	11/22/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	11/22/2016
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	3/28/2006	9/1/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	3/28/2006	9/1/2011
Active	American Guarantee and Liability Insurance Company	301216	Agent - Health	4/13/2006
Active	American Heritage Life Insurance Company	300272	Agent - Health	9/13/1991
Active	American Heritage Life Insurance Company	300272	Agent - Life	5/31/2001
Active	American United Life Insurance Company	300498	Agent - Health	7/30/2015
Active	American United Life Insurance Company	300498	Agent - Life	7/30/2015
Active	American Zurich Insurance Company	300592	Agent - Health	4/13/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/9/1998	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/31/2001	10/23/2006
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/12/1991	3/1/2001
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/4/1993	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/31/2001	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/17/2020
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/1/2008	11/29/2008
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	11/29/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Health	1/20/1999	10/1/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Life	5/31/2001	10/1/2008
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/22/2024
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/22/2024
Active	Banner Life Insurance Company	301696	Agent - Life	10/1/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	10/28/1994	3/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/8/2012	10/5/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/8/2012	10/5/2021
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	1/6/2011
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	1/6/2011
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	3/26/1993	4/15/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	1/26/2018
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/19/1997	11/16/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/31/2001	11/16/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	12/10/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	3/5/1999	3/1/2001
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	7/12/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/12/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	7/12/2016
Inactive	CMD Health, Inc.	702047	Agent - Health	4/1/2010	3/31/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/4/2018
Active	Citizens Security Life Insurance Company	301257	Agent - Health	10/31/1995
Active	Citizens Security Life Insurance Company	301257	Agent - Life	5/31/2001
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/21/2002
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/21/2002
Active	Combined Insurance Company of America	301472	Agent - Health	5/13/2011
Active	Combined Insurance Company of America	301472	Agent - Life	5/13/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	10/25/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/1/2003	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	10/8/1996	3/1/2001
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/22/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/13/1991	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/31/2001	6/11/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	3/14/2013	12/27/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	3/14/2013	12/27/2024
Inactive	Continental Casualty Company	301019	Agent - Health	9/13/1991	11/14/2005
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/25/2017	6/15/2022
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	6/15/2023	6/27/2025
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	6/15/2023	6/27/2025
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	10/3/2018
Inactive	Dental Care Plus Inc.	301495	Agent - Health	11/6/2008	3/31/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002
Inactive	DentiCare, Inc.	300655	Agent - Health	9/10/2003	11/1/2005
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	10/13/2005
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	10/13/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/22/1997	8/10/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/22/1997	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/13/1995	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	5/31/2001	12/12/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	7/13/1983	3/31/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/13/1983	3/31/1997
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/14/2005	11/8/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/14/2005	11/8/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/27/2006	12/20/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/27/2006	12/20/2007
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	7/21/1997	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	7/21/1997	9/8/2000
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/22/2002	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/8/1994
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/31/2001
Active	HCC Life Insurance Company	301827	Agent - Health	4/22/2021
Inactive	HCC Life Insurance Company	301827	Agent - Life	2/8/2006	7/24/2014
Inactive	HM Life Insurance Company	301408	Agent - Health	12/11/2006	11/21/2011
Inactive	HM Life Insurance Company	301408	Agent - Life	12/11/2006	11/21/2011
Active	Hartford Fire Insurance Company	300628	Agent - Health	2/6/2023
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	3/21/2002	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	3/21/2002	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/31/2000
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/31/2001
Inactive	Health Resources Inc.	301210	Agent - Health	4/22/2010	12/31/2014
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/30/2019
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/27/1988	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	9/13/1991
Inactive	Humana Insurance Company	300118	Agent - Health	7/17/1996	12/30/1998
Inactive	Humana Insurance Company	300118	Agent - Life	7/17/1996	12/30/1998
Active	Humana Insurance Company	301104	Agent - Life	5/31/2001
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/30/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/30/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	5/13/2013
Active	Independence Life and Annuity Company	300153	Agent - Health	12/20/2022
Active	Independence Life and Annuity Company	300153	Agent - Life	12/20/2022
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	8/1/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/31/2001	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/16/1996	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/31/2001	4/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/15/1991	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/15/1991	3/31/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/21/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/21/2008	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/21/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/21/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/12/2015	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/5/2009	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/11/2013	10/29/2015
Active	Life Insurance Company of North America	300711	Agent - Health	9/13/1991
Active	Life Insurance Company of North America	300711	Agent - Life	5/31/2001
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	1/29/2018	10/29/2019
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	1/29/2018	10/29/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2003
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2003
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	4/1/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	12/10/2019
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/1/1993	11/16/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/27/2015	2/18/2020
Inactive	Medical Life Insurance Company	300693	Agent - Health	3/17/1997	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	5/31/2001	12/31/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/13/2005	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/7/2011	11/14/2014
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/9/1998
Active	Metropolitan Life Insurance Company	301948	Agent - Life	5/31/2001
Inactive	Midwest Security Life Insurance Company	301385	Agent - Health	7/17/2008	5/4/2009
Inactive	Midwest Security Life Insurance Company	301385	Agent - Life	7/17/2008	5/4/2009
Active	Minnesota Life Insurance Company	300488	Agent - Health	1/3/2024
Active	Minnesota Life Insurance Company	300488	Agent - Life	1/3/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/19/1998	1/23/2014
Inactive	Nassau Life Insurance Company	301406	Agent - Health	5/15/1998	12/2/2008
Inactive	Nassau Life Insurance Company	301406	Agent - Life	5/31/2001	5/10/2006
Inactive	Nassau Life and Annuity Company	513671	Agent - Health	10/2/2000	4/16/2003
Inactive	Nassau Life and Annuity Company	513671	Agent - Life	10/2/2000	4/16/2003
Active	National Guardian Life Insurance Company	300596	Agent - Health	8/15/2014
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/2/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/2/2020
Inactive	New York Life Insurance Company	300431	Agent - Health	7/12/1995	1/21/1999
Inactive	New York Life Insurance Company	300431	Agent - Life	7/12/1995	1/21/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	7/12/1995	1/21/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/12/1995	1/21/1999
Active	Nippon Life Insurance Company of America	300446	Agent - Health	5/11/2001
Active	Nippon Life Insurance Company of America	300446	Agent - Life	5/31/2001
Inactive	PHL Variable Insurance Company	300525	Agent - Health	9/28/1998	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/28/1998	2/13/2004
Active	Pacific Life Insurance Company	301848	Agent - Health	2/27/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	2/27/2024
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/8/2011	9/20/2013
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/8/2011	9/20/2013
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	8/12/1997	11/10/2004
Active	Principal Life Insurance Company	300129	Agent - Health	10/27/1994
Active	Principal Life Insurance Company	300129	Agent - Life	5/31/2001
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/13/1991
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/31/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/29/2008	12/22/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/18/2024	12/23/2024
Active	Prudential Insurance Company of America	300784	Agent - Health	1/31/1994
Active	Prudential Insurance Company of America	300784	Agent - Life	5/31/2001
Active	ReliaStar Life Insurance Company	301712	Agent - Health	8/18/2010
Active	ReliaStar Life Insurance Company	301712	Agent - Life	8/18/2010
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/30/1999
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	5/31/2001
Active	Securian Life Insurance Company	300757	Agent - Health	1/3/2024
Active	Securian Life Insurance Company	300757	Agent - Life	1/3/2024
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	1/13/2012	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	1/13/2012	9/29/2012
Active	Standard Insurance Company	300185	Agent - Health	5/22/2007
Active	Standard Insurance Company	300185	Agent - Life	5/22/2007
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	1/11/2010
Active	Starmount Life Insurance Company	628031	Agent - Health	2/2/2024
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	5/14/2008
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	5/14/2008
Active	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	6/19/2003
Active	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	6/19/2003
Active	Superior Dental Care Inc.	300418	Agent - Health	2/21/2012
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	1/15/2025
Active	Symetra Life Insurance Company	301691	Agent - Health	11/12/2018
Active	Symetra Life Insurance Company	301691	Agent - Life	11/12/2018
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	3/1/2011	6/20/2018
Inactive	Transamerica Assurance Company	300893	Agent - Health	11/19/2001	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	11/19/2001	10/1/2004
Active	Transamerica Life Insurance Company	300571	Agent - Health	7/11/2011
Active	Transamerica Life Insurance Company	300571	Agent - Life	7/11/2011
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	10/28/2003	8/19/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/12/1998	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/31/2001	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/24/2015	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/24/2015	10/1/2020
Active	Trustmark Insurance Company	300317	Agent - Health	9/10/1998
Active	Trustmark Insurance Company	300317	Agent - Life	5/31/2001
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	1/21/1997	9/16/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	1/21/1997	9/16/2003
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/13/1991
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/31/2001
Active	Unimerica Insurance Company	563724	Agent - Health	6/29/2015
Active	Unimerica Insurance Company	563724	Agent - Life	6/29/2015
Inactive	Union Central Life Insurance Company	300307	Agent - Health	10/28/1992	1/22/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	5/31/2001	1/22/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	12/1/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	5/31/2001	12/1/2020
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	3/1/2001	1/4/2013
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Prepaid Dental Plan	9/8/1994	3/1/2001
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/1/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/1/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/7/1994	2/26/2001
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/7/1994	2/26/2001
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	2/8/1997	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/13/2020	12/17/2024
Active	Unum Insurance Company	301499	Agent - Health	2/2/2024
Active	Unum Insurance Company	301499	Agent - Life	2/2/2024
Active	Vision Service Plan Insurance Company	300526	Agent - Health	11/26/2001
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	12/20/2000	11/14/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/31/2001	11/14/2005
Active	Zurich American Insurance Company	301121	Agent - Health	4/13/2006
Active	Zurich American Insurance Company of Illinois	301805	Agent - Health	4/13/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, Samuel Tunstall	366889	Agent - Life	10/20/1993	7/1/1996
Inactive	Allen, Hannah P	1036657	Agent - Health	6/22/2019	11/5/2020
Inactive	Allen, Hannah P	1036657	Agent - Life	6/22/2019	11/5/2020
Active	Anderson, Charles Edwin	325111	Agent - Health	8/30/2004
Active	Anderson, Charles Edwin	325111	Agent - Life	8/30/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/2/1992	12/31/2001
Inactive	Baker, Paul V	357335	Agent - Health	2/1/2007	12/20/2010
Inactive	Baker, Paul V	357335	Agent - Life	2/1/2007	12/20/2010
Active	Ball, Evan	959712	Agent - Health	8/4/2017
Active	Ball, Evan	959712	Agent - Life	8/4/2017
Inactive	Becker, Diane Dabill	355038	Agent - Health	9/16/2004	4/1/2013
Inactive	Becker, Diane Dabill	355038	Agent - Life	9/16/2004	4/1/2013
Inactive	Bennett, James M	332128	Agent - Health	9/26/2023	12/1/2024
Inactive	Bennett, James M	332128	Agent - Life	9/26/2023	12/1/2024
Active	Berry, Charles Mcclelland	346344	Agent - Health	9/16/2004
Active	Berry, Charles Mcclelland	346344	Agent - Life	9/16/2004
Inactive	Bivens, Gregory D	366699	Agent - Health	2/25/2005	11/4/2010
Inactive	Bivens, Gregory D	366699	Agent - Life	2/25/2005	11/4/2010
Active	Bohon, Lindsey Grace	914268	Agent - Health	8/30/2016
Inactive	Bohon, Lindsey Grace	914268	Agent - Life	8/30/2016	4/15/2025
Inactive	Bosley, Marcus Worth	316342	Agent - Health	8/30/2004	3/1/2012
Inactive	Bosley, Marcus Worth	316342	Agent - Life	8/30/2004	3/1/2012
Inactive	Botiller, Bernard Theodore	376280	Agent - Health	7/5/1996	7/1/1998
Inactive	Botiller, Bernard Theodore	376280	Agent - Life	7/5/1996	7/1/1998
Denied	Brown, Evan Harrison	1130955	Agent - Health
Denied	Brown, Evan Harrison	1130955	Agent - Life
Inactive	Browning, Gary Wayne	325431	Agent - Health	2/25/2005	1/1/2009
Inactive	Browning, Gary Wayne	325431	Agent - Life	2/25/2005	1/1/2009
Inactive	Bryant, Mary Brady	361811	Agent - Health	3/4/1998	5/24/2001
Inactive	Bryant, Mary Brady	361811	Agent - Life	3/4/1998	5/24/2001
Inactive	Burnside, Ellen S	601715	Agent - Health	6/10/2014	6/1/2023
Inactive	Burnside, Ellen S	601715	Agent - Life	7/1/2005	6/1/2023
Inactive	Butler, Michael James	379221	Agent - Health	9/23/1999	5/13/2002
Inactive	Butler, Michael James	379221	Agent - Life	9/23/1999	5/13/2002
Inactive	Byers, Joseph Adams	385699	Agent - Health	2/4/2004	7/1/2006
Inactive	Byers, Joseph Adams	385699	Agent - Life	2/4/2004	7/1/2006
Active	Casey, Kathryn	806162	Agent - Health	3/9/2020
Active	Casey, Kathryn	806162	Agent - Life	3/9/2020
Inactive	Childers, Thomas Joseph	324578	Agent - Health	8/30/2004	5/6/2009
Inactive	Childers, Thomas Joseph	324578	Agent - Life	8/30/2004	5/6/2009
Denied	Clifford, Matthew W	808488	Agent - Health
Denied	Clifford, Matthew W	808488	Agent - Life
Active	Cochran, L. Briggs	393432	Agent - Health	3/30/1982
Active	Cochran, L. Briggs	393432	Agent - Life	3/30/1982
Inactive	Coffman, Janice Lee	357248	Agent - Health	5/9/2001	1/16/2002
Inactive	Colvin, Jennifer Kaylene	628804	Agent - Health	10/19/2007	9/2/2009
Inactive	Colvin, Jennifer Kaylene	628804	Agent - Life	10/19/2007	9/2/2009
Inactive	Cox, Charles Clifford	364672	Agent - Health	8/30/2004	7/1/2022
Inactive	Cox, Charles Clifford	364672	Agent - Life	8/30/2004	7/1/2022
Denied	Crawford, Mary Elaine	900812	Agent - Health
Denied	Crawford, Mary Elaine	900812	Agent - Life
Active	Cupps, Elizabeth	843845	Agent - Health	11/5/2014
Inactive	Cupps, Elizabeth	843845	Agent - Life	11/5/2014	4/15/2025
Inactive	Daniel, Betty Ellen	346862	Agent - Health	8/16/2004	2/1/2024
Inactive	Daniel, Betty Ellen	346862	Agent - Life	8/16/2004	2/1/2024
Active	Davis, Norma Jean	520818	Agent - Health	9/16/2004
Active	Davis, Norma Jean	520818	Agent - Life	9/16/2004
Active	Day, Karen M	327656	Agent - Health	8/16/2022
Active	Day, Karen M	327656	Agent - Life	8/16/2022
Active	Day, Karen M	327656	Life & Health Consultant - Not Applicable	8/16/2022
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Dill, Woodrow Wilson	502445	Agent - Health	7/1/2005	2/18/2013
Inactive	Dill, Woodrow Wilson	502445	Agent - Life	7/1/2005	2/18/2013
Inactive	Dodds, Jon Christopher	591160	Agent - Health	1/23/2007	2/18/2013
Inactive	Dodds, Jon Christopher	591160	Agent - Life	1/23/2007	2/18/2013
Denied	Durbin, Kristina Marie	1121778	Agent - Health
Denied	Durbin, Kristina Marie	1121778	Agent - Life
Inactive	Engle, Gregory Phillip	351178	Agent - Health	9/4/1986	7/31/2022
Inactive	Engle, Gregory Phillip	351178	Agent - Life	9/4/1986	7/31/2022
Inactive	Evans, Daniel Vaughn	361042	Agent - Health	10/25/1990	9/25/2013
Inactive	Evans, Daniel Vaughn	361042	Agent - Life	10/25/1990	9/25/2013
Inactive	Filer, Shelly Lee	546505	Agent - Health	8/30/2004	4/7/2005
Inactive	Filer, Shelly Lee	546505	Agent - Life	8/30/2004	4/7/2005
Inactive	Finch, John Roberts	391378	Agent - Health	3/16/1995	1/30/2008
Inactive	Finch, John Roberts	391378	Agent - Life	3/16/1995	1/30/2008
Inactive	Gill, Monique	612042	Agent - Health	9/1/2005	1/23/2007
Inactive	Gill, Monique	612042	Agent - Life	9/1/2005	1/23/2007
Active	Goodson, Deborah Gail	340915	Agent - Health	9/16/2004
Active	Goodson, Deborah Gail	340915	Agent - Life	9/16/2004
Active	Graves, Lisa Ann	382393	Agent - Health	9/16/2004
Active	Graves, Lisa Ann	382393	Agent - Life	9/16/2004
Denied	Gregory, Jacob O	858177	Agent - Health
Denied	Gregory, Jacob O	858177	Agent - Life
Inactive	Hall, Dana Claire	535102	Agent - Health	5/2/2002	7/1/2004
Inactive	Hall, Dana Claire	535102	Agent - Life	5/2/2002	7/1/2004
Inactive	Harris, Steve Wakefield	317607	Agent - Health	9/29/1992	8/30/2004
Inactive	Harris, Steve Wakefield	317607	Agent - Life	9/29/1992	8/30/2004
Denied	Hayes, Leesa K	334833	Agent - Health
Denied	Hayes, Leesa K	334833	Agent - Life
Inactive	Heavin, Valerie Kay	724603	Agent - Health	3/1/2017	3/1/2019
Inactive	Heavin, Valerie Kay	724603	Agent - Life	3/1/2017	3/1/2019
Inactive	Hedrick, William Shields	326320	Agent - Health	9/23/1999	8/30/2004
Inactive	Hedrick, William Shields	326320	Agent - Life	9/23/1999	8/30/2004
Inactive	Hendrix, Mark Thomas	320909	Agent - Health	9/23/1999	1/23/2007
Inactive	Hendrix, Mark Thomas	320909	Agent - Life	9/23/1999	1/23/2007
Inactive	Hodges, Jeffrey Shawn	669510	Agent - Health	6/10/2014	8/19/2014
Inactive	Hodges, Jeffrey Shawn	669510	Agent - Life	6/10/2014	8/19/2014
Inactive	Hofe, Darryl Preston	334143	Agent - Health	8/30/2004	12/31/2018
Inactive	Hofe, Darryl Preston	334143	Agent - Life	8/30/2004	12/31/2018
Inactive	Holley, Brian Keith	958387	Agent - Health	12/14/2020	1/15/2022
Inactive	Holley, Brian Keith	958387	Agent - Life	12/14/2020	1/15/2022
Inactive	Howes, Richard D	329706	Agent - Health	9/23/1999	10/31/2003
Inactive	Howes, Richard D	329706	Agent - Life	9/23/1999	10/31/2003
Denied	Jasper, Christian	1068481	Agent - Health
Denied	Jasper, Christian	1068481	Agent - Life
Inactive	Johnson, Brittany Lynn	1068166	Agent - Health	4/13/2021	4/30/2024
Inactive	Johnson, Brittany Lynn	1068166	Agent - Life	4/13/2021	4/30/2024
Inactive	Jones, Alexus Marleise	548638	Agent - Health	9/16/2004	6/30/2006
Inactive	Jones, Alexus Marleise	548638	Agent - Life	9/16/2004	6/30/2006
Inactive	Labonde, Janet Ann	351912	Agent - Health	9/26/2023	3/20/2025
Inactive	Labonde, Janet Ann	351912	Agent - Life	9/26/2023	3/20/2025
Inactive	Lamb, Carol	310968	Agent - Health	9/16/2004	7/31/2008
Inactive	Lamb, Carol	310968	Agent - Life	9/16/2004	7/31/2008
Inactive	Lamberth, Mark J	564954	Agent - Health	7/1/2005	1/30/2008
Inactive	Lamberth, Mark J	564954	Agent - Life	7/1/2005	1/30/2008
Denied	Lemons, Deborah Lynn	329220	Agent - Health
Inactive	Luft, Ronald Lynn	359954	Agent - Health	8/30/2004	2/1/2018
Inactive	Luft, Ronald Lynn	359954	Agent - Life	8/30/2004	2/1/2018
Inactive	Marion, Jill Christine	587813	Agent - Health	8/1/2004	9/30/2008
Inactive	Marion, Jill Christine	587813	Agent - Life	8/1/2004	9/30/2008
Active	Marrs, Benjamin Andrew	313209	Agent - Health	1/24/2022
Denied	Marrs, Benjamin Andrew	313209	Agent - Life
Inactive	Martinez, Tony Jose	583274	Agent - Health	4/5/2006	9/1/2011
Inactive	Martinez, Tony Jose	583274	Agent - Life	4/5/2006	9/1/2011
Inactive	Matherly, John Steven	335625	Agent - Health	1/23/2007	5/1/2019
Inactive	Matherly, John Steven	335625	Agent - Life	1/23/2007	5/1/2019
Denied	Mattison, Patricia Dawn	640795	Agent - Health
Denied	Mattox, Melena	882429	Agent - Health
Denied	Mattox, Melena	882429	Agent - Life
Inactive	McAnallen, Kevin Lawrence	345337	Agent - Health	8/30/2004	12/1/2014
Inactive	McAnallen, Kevin Lawrence	345337	Agent - Life	8/30/2004	12/1/2014
Inactive	Mccollum, Ashley Rayne	1117272	Agent - Health	5/10/2021	9/30/2024
Inactive	Mccollum, Ashley Rayne	1117272	Agent - Life	5/10/2021	9/30/2024
Active	Metcalf, Myra Jean	808355	Agent - Health	3/1/2016
Inactive	Miller, Griffin	1220584	Agent - Health	9/28/2022	3/20/2025
Inactive	Miller, Griffin	1220584	Agent - Life	9/28/2022	3/20/2025
Inactive	Miller, Kimberly Anne	379098	Agent - Health	7/1/2002	7/1/2005
Inactive	Miller, Kimberly Anne	379098	Agent - Life	7/1/2002	7/1/2005
Inactive	Mosgrove, Thomas Duane	367401	Agent - Health	8/29/1995	8/30/2004
Inactive	Mosgrove, Thomas Duane	367401	Agent - Life	8/29/1995	8/30/2004
Inactive	Mucci, Nancy Mucci	323633	Agent - Health	9/16/2004	7/14/2005
Inactive	Mucci, Nancy Mucci	323633	Agent - Life	9/16/2004	7/14/2005
Inactive	National Insurance Agency Inc.	401234	Agent - Health	5/13/1998	12/31/2001
Inactive	National Insurance Agency Inc.	401234	Agent - Life	5/13/1998	12/31/2001
Active	Newman-Suter, Laura Janette	519111	Agent - Health	7/23/2002
Active	Newman-Suter, Laura Janette	519111	Agent - Life	7/23/2002
Denied	Oepping, Mari Kylene	383053	Agent - Health
Denied	Oepping, Mari Kylene	383053	Agent - Life
Inactive	Patchel, Kathy	882489	Agent - Health	3/1/2016	7/1/2024
Inactive	Patchel, Kathy	882489	Agent - Life	3/1/2016	7/1/2024
Denied	Payne, Jeri	1232061	Agent - Health
Denied	Payne, Jeri	1232061	Agent - Life
Inactive	Philpot, Whitney Ann	377474	Agent - Health	7/1/2005	1/30/2008
Inactive	Philpot, Whitney Ann	377474	Agent - Life	7/1/2005	1/30/2008
Inactive	Pullen, Milton S	393084	Agent - Health	8/30/2004	3/11/2009
Inactive	Pullen, Milton S	393084	Agent - Life	8/30/2004	3/11/2009
Inactive	Randolph, Elizabeth Anne	307274	Agent - Health	11/5/2014	3/1/2016
Inactive	Randolph, Elizabeth Anne	307274	Agent - Life	11/5/2014	3/1/2016
Inactive	Riddle, James Craig	306679	Agent - Health	2/25/2005	4/28/2006
Inactive	Riddle, James Craig	306679	Agent - Life	2/25/2005	4/28/2006
Active	Roe, Kyle Matthew	1013359	Agent - Health	3/27/2025
Pending	Roe, Kyle Matthew	1013359	Agent - Life
Inactive	Rue, Carol Ann	312031	Agent - Health	9/23/1999	8/30/2004
Inactive	Rue, Carol Ann	312031	Agent - Life	9/23/1999	8/30/2004
Inactive	Shlonsky, Grace Robinson	934614	Agent - Health	8/3/2017	3/1/2020
Inactive	Shlonsky, Grace Robinson	934614	Agent - Life	8/3/2017	3/1/2020
Inactive	Sizemore, Deanna Jane	691899	Agent - Health	5/5/2009	4/30/2019
Inactive	Sizemore, Deanna Jane	691899	Agent - Life	5/5/2009	4/30/2019
Inactive	Slade, Dee Ann	363023	Agent - Health	9/16/2004	12/1/2017
Inactive	Slade, Dee Ann	363023	Agent - Life	9/16/2004	12/1/2017
Denied	Smith, Tonya Gayle	922799	Agent - Health
Inactive	Snowden, Scott Douglas	368594	Agent - Health	8/16/2022	3/20/2025
Inactive	Snowden, Scott Douglas	368594	Agent - Life	8/16/2022	3/20/2025
Inactive	Snowden, Scott Douglas	368594	Life & Health Consultant - Not Applicable	8/16/2022	3/20/2025
Active	Stacy, Dustin	524893	Agent - Health	4/14/2010
Active	Stacy, Dustin	524893	Agent - Life	4/14/2010
Active	Stacy, Dustin	524893	Life & Health Consultant - Not Applicable	2/24/2017
Active	Stacy, Kyle Branden	651573	Agent - Health	4/18/2011
Inactive	Stacy, Kyle Branden	651573	Agent - Life	4/18/2011	4/15/2025
Inactive	Tabscott, Kimberly Anne	535024	Agent - Health	6/2/2006	9/25/2013
Inactive	Tabscott, Kimberly Anne	535024	Agent - Life	6/2/2006	9/25/2013
Inactive	Talbert, Grant Philip	723773	Agent - Health	4/25/2014	2/2/2016
Inactive	Talbert, Grant Philip	723773	Agent - Life	4/25/2014	2/2/2016
Active	Taylor, Heather Anne	346248	Agent - Health	2/18/2013
Active	Taylor, Heather Anne	346248	Agent - Life	2/18/2013
Denied	Taylor, Rosezanna	843837	Agent - Health
Denied	Taylor, Rosezanna	843837	Agent - Life
Inactive	Teasley, Kesha Donn	588957	Agent - Health	2/25/2005	7/26/2005
Inactive	Teasley, Kesha Donn	588957	Agent - Life	2/25/2005	7/26/2005
Inactive	Thompson, Bruce Mandley	394228	Agent - Health	9/23/1999	8/30/2004
Inactive	Thompson, Bruce Mandley	394228	Agent - Life	9/23/1999	8/30/2004
Inactive	Travis, Paul B.	736745	Agent - Health	8/21/2015	4/20/2016
Inactive	Travis, Paul B.	736745	Agent - Life	8/21/2015	4/20/2016
Active	Truitt, Jeffrey D	389409	Agent - Health	12/7/2000
Active	Truitt, Jeffrey D	389409	Agent - Life	12/7/2000
Active	Wagner, Kevin Allen	371648	Agent - Health	8/30/2004
Active	Wagner, Kevin Allen	371648	Agent - Life	8/30/2004
Inactive	Wilson, Steven Lee	345119	Agent - Health	9/26/2023	3/20/2025
Inactive	Wilson, Steven Lee	345119	Agent - Life	9/26/2023	3/20/2025
Pending Replacement	Wolfe, Larry Joseph	367283	Agent - Health	1/23/2007
Pending Replacement	Wolfe, Larry Joseph	367283	Agent - Life	1/23/2007