DEPARTMENT OF INSURANCE
Affiliations
NameStoneBridge Insurance Services, IncDOIID398862NAIC NPN3318103
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty5/29/2009 3/31/2025
ActiveResidentAgentLife1/28/1987 3/31/2025
ActiveResidentAgentHealth1/28/1987 3/31/2025
ActiveResidentAgentCasualty5/29/2009 3/31/2025
InactiveResidentAgentHealth Maintenance Organization3/18/19883/1/2001 
InactiveResidentAgentPrepaid Dental Plan4/3/19893/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAF&L Insurance Company301582Agent - Health10/22/200111/1/2006
InactiveAbility Insurance Company301013Agent - Health3/10/200012/31/2000
InactiveAbility Insurance Company301013Agent - Life3/10/200012/31/2000
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAetna Health Inc.300694Agent - Health3/8/200712/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health4/27/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/23/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/27/2017 
ActiveAetna Life Insurance Company301140Agent - Life4/27/2017 
ActiveAll Savers Insurance Company301940Agent - Health8/23/2023 
ActiveAll Savers Insurance Company301940Agent - Life8/23/2023 
InactiveAllianz Life Insurance Company of North America301791Agent - Health11/2/199811/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life11/2/199811/22/2007
ActiveAmGUARD Insurance Company500010Agent - Casualty3/17/2018 
ActiveAmGUARD Insurance Company500010Agent - Property3/17/2018 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty12/11/2018 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property12/11/2018 
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/19/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/19/2024 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/26/20114/9/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/26/20114/9/2021
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Health7/31/19893/31/1997
InactiveAmerican Franklin Life Insurance Company (The)301025Agent - Life7/31/19893/31/1997
ActiveAmerican Heritage Life Insurance Company300272Agent - Health6/25/2015 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life6/25/2015 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty1/3/2024 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property1/3/2024 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health5/29/201512/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/29/201512/21/2018
InactiveAmerican States Life Insurance Company301884Agent - Health12/30/199811/26/2001
InactiveAmerican States Life Insurance Company301884Agent - Life12/30/199811/26/2001
ActiveAmerican United Life Insurance Company300498Agent - Health11/28/2008 
ActiveAmerican United Life Insurance Company300498Agent - Life11/28/2008 
InactiveAmeritas Life Insurance Corporation300126Agent - Health2/17/200310/26/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Life2/17/200310/26/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/2001 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization3/18/19883/1/2001
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/4/1993 
ActiveAnthem Life Insurance Company301209Agent - Life6/4/1993 
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life12/5/20055/8/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty7/4/20176/19/2024
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property7/4/20176/19/2024
InactiveBankers Fidelity Life Insurance Company300193Agent - Health9/12/20061/3/2011
InactiveBankers Fidelity Life Insurance Company300193Agent - Life9/12/20061/3/2011
InactiveBankers United Life Assurance Company300296Agent - Health2/18/20001/3/2001
InactiveBankers United Life Assurance Company300296Agent - Life2/18/20001/3/2001
ActiveBanner Life Insurance Company301696Agent - Life5/4/2007 
InactiveBaptist Health Plan, Inc.300157Agent - Health1/5/20063/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health3/20/200612/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life3/20/200612/13/2011
InactiveBrighthouse Life Insurance Company301829Agent - Health12/14/19924/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life12/14/19924/15/2005
InactiveBristol West Insurance Company301655Agent - Casualty6/29/201112/13/2017
InactiveBristol West Insurance Company301655Agent - Property6/29/201112/13/2017
InactiveCHA HMO, Inc.300662Agent - Health10/23/200310/10/2014
InactiveCIGNA Health & Life Insurance Company301783Agent - Health1/7/201912/22/2020
InactiveCIGNA Health & Life Insurance Company301783Agent - Life5/12/201712/21/2018
InactiveCMD Health, Inc.702047Agent - Health11/8/20103/31/2013
InactiveCentennial Life Insurance Company (The)301561Agent - Health3/18/19963/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life3/18/19963/31/1997
InactiveCentral States Indemnity Company of Omaha300285Agent - Health1/10/201212/28/2012
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/18/201112/9/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/18/201112/9/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Health6/12/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life6/12/19953/31/1997
ActiveCitizens Security Life Insurance Company301257Agent - Health5/4/2005 
ActiveCitizens Security Life Insurance Company301257Agent - Life5/4/2005 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
ActiveColonial Life and Accident Insurance Company300846Agent - Health4/27/2005 
ActiveColonial Life and Accident Insurance Company300846Agent - Life4/27/2005 
InactiveCombined Insurance Company of America301472Agent - Health12/30/20133/22/2021
InactiveCompBenefits Dental, Inc.591692Agent - Health5/18/201612/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health9/11/20096/11/2014
InactiveConseco Health Insurance Company301725Agent - Health9/6/20008/1/2006
InactiveConseco Health Insurance Company301725Agent - Life9/6/20008/1/2006
InactiveConseco Insurance Company301202Agent - Health11/30/200410/6/2009
InactiveConseco Insurance Company301202Agent - Life11/30/200410/6/2009
InactiveContinental Casualty Company301019Agent - Health7/31/198912/19/2002
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
InactiveDearborn Life Insurance Company300401Agent - Health5/15/200712/8/2017
InactiveDearborn Life Insurance Company300401Agent - Life5/15/200712/8/2017
ActiveDental Concern Inc. (The)301641Agent - Health5/12/2023 
InactiveFarmington Casualty Company301137Agent - Casualty5/18/201712/20/2018
InactiveFarmington Casualty Company301137Agent - Property5/18/201712/20/2018
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life2/26/200210/29/2008
InactiveFidelity Security Life Insurance Company300466Agent - Health1/30/20141/6/2015
InactiveFidelity Security Life Insurance Company300466Agent - Life1/30/20141/6/2015
ActiveFirst Health Life & Health Insurance Company301735Agent - Health4/27/2017 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/29/201112/13/2017
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/29/201112/13/2017
InactiveForethought Life Insurance Company301407Agent - Health3/21/20111/24/2014
InactiveForethought Life Insurance Company301407Agent - Life3/21/20111/24/2014
InactiveFranklin Life Insurance Company (The)300779Agent - Health1/28/19873/31/1997
InactiveFranklin Life Insurance Company (The)300779Agent - Life1/28/19873/31/1997
InactiveFreedom Life Insurance Company of America300074Agent - Health5/4/19953/31/1997
InactiveFreedom Life Insurance Company of America300074Agent - Life5/4/19953/31/1997
InactiveGenworth Life Insurance Company300623Agent - Health11/12/200910/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life11/12/200910/4/2012
InactiveGerber Life Insurance Company300529Agent - Health4/15/20106/17/2013
InactiveGerber Life Insurance Company300529Agent - Life4/15/20106/17/2013
InactiveGolden Rule Insurance Company301943Agent - Health3/20/200812/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life3/20/200812/13/2012
InactiveGrange Life Insurance Company300128Agent - Health10/26/20173/31/2021
InactiveGrange Life Insurance Company300128Agent - Life10/26/20173/31/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health4/23/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/23/2015 
ActiveHartford Life and Accident Insurance Company300878Agent - Health10/17/2002 
ActiveHartford Life and Accident Insurance Company300878Agent - Life10/17/2002 
ActiveHealth Resources Inc.301210Agent - Health3/1/2001 
InactiveHealth Resources Inc.301210Agent - Prepaid Dental Plan4/3/19893/1/2001
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/11/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/11/202112/13/2022
ActiveHumana Health Plan, Inc.300142Agent - Health5/12/2023 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization3/30/19983/1/2001
ActiveHumana Insurance Company301104Agent - Health5/12/2023 
InactiveHumana Insurance Company301104Agent - Life5/8/199812/13/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health5/12/2023 
ActiveHumana Insurance Company of Kentucky300826Agent - Life5/12/2023 
InactiveHumana Medical Plan, Inc.801568Agent - Health3/11/202112/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health3/11/202112/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health7/6/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life7/6/20065/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health8/24/200911/18/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Life8/24/200911/18/2013
InactiveIndependence American Insurance Company524747Agent - Health3/17/202112/30/2022
InactiveInvestors Heritage Life Insurance Company300363Agent - Health10/1/19995/21/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/1/19995/21/2008
InactiveJohn Alden Life Insurance Company300573Agent - Health9/5/200010/4/2010
InactiveJohn Alden Life Insurance Company300573Agent - Life9/5/200010/4/2010
InactiveKanawha Insurance Company300127Agent - Health3/7/20188/9/2018
InactiveKanawha Insurance Company300127Agent - Life3/7/20188/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/15/201310/29/2015
InactiveLafayette Life Insurance Company (The)301039Agent - Health7/7/19981/23/2008
InactiveLafayette Life Insurance Company (The)301039Agent - Life7/7/19981/23/2008
ActiveLife Insurance Company of Alabama301439Agent - Health5/26/1992 
ActiveLife Insurance Company of Alabama301439Agent - Life5/26/1992 
InactiveLifeUSA Insurance Company300386Agent - Health11/2/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life11/2/19988/2/2002
InactiveMedAmerica Insurance Company301568Agent - Health10/7/200312/1/2010
InactiveMedico Insurance Company301559Agent - Health8/2/201712/26/2018
InactiveMedico Insurance Company301559Agent - Life8/2/201712/26/2018
InactiveMeridian Security Insurance Company300423Agent - Casualty8/10/20167/15/2024
InactiveMeridian Security Insurance Company300423Agent - Property8/10/20167/15/2024
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/13/200511/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/13/200511/14/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health5/19/199512/18/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life5/19/199512/18/2012
InactiveMidland National Life Insurance Company300923Agent - Health5/12/20051/22/2009
InactiveMidland National Life Insurance Company300923Agent - Life5/12/20051/22/2009
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
InactiveMutual of Omaha Insurance Company301012Agent - Health5/18/200612/26/2012
InactiveNational General Insurance Company300152Agent - Casualty8/16/20114/2/2013
InactiveNational General Insurance Company300152Agent - Property8/16/20114/2/2013
ActiveNational Specialty Insurance Company300993Agent - Casualty10/10/2023 
ActiveNational Specialty Insurance Company300993Agent - Property10/10/2023 
ActiveNext Insurance US Company1083825Agent - Casualty10/4/2023 
ActiveNext Insurance US Company1083825Agent - Property10/4/2023 
ActiveNorGUARD Insurance Company500015Agent - Casualty3/17/2018 
ActiveOhio Casualty Insurance Company301492Agent - Casualty7/1/2024 
ActiveOhio Casualty Insurance Company301492Agent - Property7/1/2024 
InactiveOmaha Insurance Company751908Agent - Health5/3/20126/24/2013
InactivePaul Revere Life Insurance Company300971Agent - Health6/18/19968/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life6/18/199612/8/2006
InactivePioneer Life Insurance Company300110Agent - Health2/20/19978/20/2003
InactivePioneer Life Insurance Company300110Agent - Life2/20/19978/20/2003
ActivePrincipal Life Insurance Company300129Agent - Health3/17/1987 
ActivePrincipal Life Insurance Company300129Agent - Life3/17/1987 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty11/2/2010 
ActiveProgressive Casualty Insurance Company300696Agent - Property11/2/2010 
ActiveProgressive Northern Insurance Company301378Agent - Casualty11/2/2010 
ActiveProgressive Northern Insurance Company301378Agent - Property11/2/2010 
InactiveProtective Life Insurance Company300638Agent - Health12/28/19953/7/2005
InactiveProtective Life Insurance Company300638Agent - Life12/28/19953/7/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/26/199912/3/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/26/199912/3/2004
InactivePruco Life Insurance Company300954Agent - Health9/1/20099/18/2009
InactivePruco Life Insurance Company300954Agent - Life9/1/20099/18/2009
InactivePuritan Life Insurance Company of America301892Agent - Health4/30/200810/21/2010
InactivePuritan Life Insurance Company of America301892Agent - Life4/30/200810/21/2010
InactiveReassure America Life Insurance Company301902Agent - Health5/1/19969/16/2004
InactiveReassure America Life Insurance Company301902Agent - Life5/1/19969/16/2004
InactiveReliance Standard Life Insurance Company300584Agent - Health3/1/20126/21/2022
InactiveReliance Standard Life Insurance Company300584Agent - Life3/1/20126/21/2022
InactiveSAFECO Insurance Company of America300159Agent - Casualty7/15/20163/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property7/15/20163/29/2024
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/19/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property6/19/2024 
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health4/17/200011/19/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life4/17/200011/19/2003
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty10/18/20166/19/2024
InactiveStandard Fire Insurance Company (The)301068Agent - Property10/18/20166/19/2024
InactiveStandard Insurance Company300185Agent - Health8/15/200812/31/2013
InactiveStandard Insurance Company300185Agent - Life8/15/200812/31/2013
InactiveStandard Life and Accident Insurance Company301534Agent - Health1/29/20012/20/2006
InactiveStandard Life and Accident Insurance Company301534Agent - Life1/29/20012/20/2006
InactiveStar Casualty Insurance Company681448Agent - Casualty7/28/201012/30/2013
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/10/20167/15/2024
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property8/10/20167/15/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/10/20167/15/2024
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/10/20167/15/2024
ActiveState National Insurance Company, Inc.300888Agent - Casualty10/10/2023 
ActiveState National Insurance Company, Inc.300888Agent - Property10/10/2023 
ActiveSun Life Assurance Company of Canada301811Agent - Life5/25/2006 
InactiveSymetra Life Insurance Company301691Agent - Health2/3/19985/28/2019
InactiveSymetra Life Insurance Company301691Agent - Life2/3/19985/28/2019
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/25/2009 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/25/2009 
InactiveThe Phoenix Insurance Company301502Agent - Casualty7/17/201811/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property7/17/201811/4/2022
InactiveTime Insurance Company300683Agent - Health1/7/200311/28/2007
InactiveTime Insurance Company300683Agent - Life1/7/200311/28/2007
InactiveTransamerica Assurance Company300893Agent - Health3/10/20009/12/2003
InactiveTransamerica Assurance Company300893Agent - Life3/10/20009/12/2003
InactiveTransamerica Life Insurance Company300571Agent - Health6/30/20194/17/2023
InactiveTransamerica Life Insurance Company300571Agent - Life6/30/20194/17/2023
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health3/2/200710/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life3/2/200710/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/10/20009/12/2003
InactiveTransamerica Premier Life Insurance Company300558Agent - Life4/29/201010/9/2017
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/18/20176/19/2024
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/18/20176/19/2024
InactiveTravelers Casualty and Surety Company301067Agent - Casualty8/18/201112/9/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property8/18/201112/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty8/3/201112/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property8/3/201112/9/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty8/3/20116/19/2024
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property8/3/20116/19/2024
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/3/201112/9/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property8/3/201112/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/3/201112/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/3/201112/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/18/201112/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/18/201112/9/2013
InactiveTravelers Personal Insurance Company705785Agent - Casualty1/1/20206/19/2024
InactiveTravelers Personal Insurance Company705785Agent - Property1/1/20206/19/2024
InactiveTravelers Property Casualty Company of America301649Agent - Casualty8/18/201112/9/2013
InactiveTravelers Property Casualty Company of America301649Agent - Property8/18/201112/9/2013
ActiveTrexis Insurance Corporation599902Agent - Casualty5/30/2018 
ActiveTrexis One Insurance Corporation684197Agent - Casualty5/30/2018 
InactiveTrustmark Insurance Company300317Agent - Health1/29/19933/31/1997
InactiveTrustmark Insurance Company300317Agent - Life1/29/19933/31/1997
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/10/20069/20/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health10/23/199912/3/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life10/23/199912/3/2004
InactiveUnion Bankers Insurance Company301769Agent - Health5/15/19916/12/1998
InactiveUnion Bankers Insurance Company301769Agent - Life5/15/19916/12/1998
InactiveUnion Security Insurance Company301844Agent - Health7/28/20091/12/2015
InactiveUnion Security Insurance Company301844Agent - Life7/28/20091/12/2015
ActiveUnited Financial Casualty Company301886Agent - Casualty11/2/2010 
ActiveUnited Financial Casualty Company301886Agent - Property11/2/2010 
InactiveUnited Teacher Associates Insurance Company300747Agent - Health2/10/20034/22/2009
InactiveUnited Teacher Associates Insurance Company300747Agent - Life2/10/20034/22/2009
InactiveUnited World Life Insurance Company300532Agent - Health5/18/200612/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/30/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/30/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/1/2017 
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/1/2017 
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/10/19952/16/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/10/19952/16/1999
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/28/2022 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization6/29/20003/1/2001
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/28/2022 
ActiveVision Service Plan Insurance Company300526Agent - Health7/8/2013 
InactiveWashington National Insurance Company300587Agent - Health12/22/20103/21/2017
InactiveWashington National Insurance Company300587Agent - Life12/22/20103/21/2017
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/20223/4/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/20222/29/2024
InactiveWellpoint Life and Health Insurance Company300469Agent - Health12/2/199912/23/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life12/2/199910/15/2010
InactiveWest Coast Life Insurance Company301607Agent - Life7/24/200612/13/2011
InactiveWilcac Life Insurance Company301573Agent - Health5/1/199611/13/2000
InactiveWilcac Life Insurance Company301573Agent - Life5/1/199611/13/2000
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAltmeyer, Roderick C 596003Agent - Health4/10/20091/16/2014
InactiveAltmeyer, Roderick C 596003Agent - Life4/10/20091/16/2014
InactiveArison Insurance Services, Inc.401001Agent - Health7/2/199212/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/2/199212/31/2001
InactiveBall, Gary W 348963Agent - Health1/20/20057/1/2016
InactiveBall, Gary W 348963Agent - Life1/20/20057/1/2016
InactiveBartlett, Susann G 307062Agent - Health1/20/20053/1/2011
InactiveBartlett, Susann G 307062Agent - Life1/20/20053/1/2011
InactiveBewley, Rocky D 322420Agent - Health7/12/20061/16/2014
InactiveBewley, Rocky D 322420Agent - Life7/12/20061/16/2014
InactiveBurke, Robert Dewayne 525946Agent - Health2/6/20062/6/2007
InactiveBurke, Robert Dewayne 525946Agent - Life2/6/20062/6/2007
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveDooley, Harry Arnold 392637Agent - Casualty5/29/20091/16/2014
InactiveDooley, Harry Arnold 392637Agent - Health8/4/20051/16/2014
InactiveDooley, Harry Arnold 392637Agent - Life8/4/20051/16/2014
InactiveDooley, Harry Arnold 392637Agent - Property5/29/20091/16/2014
InactiveElliott, Phillip David 576289Agent - Health8/4/20052/6/2007
InactiveElliott, Phillip David 576289Agent - Life8/4/20052/6/2007
DeniedEllis, Carolyn L 586773Agent - Health  
DeniedEllis, Carolyn L 586773Agent - Life  
InactiveEmbry, Jonathan Dereke 544145Agent - Health8/4/20057/1/2006
InactiveEmbry, Jonathan Dereke 544145Agent - Life8/4/20057/1/2006
InactiveFleitz, Dennis Michael 319815Agent - Health7/28/20061/16/2014
InactiveFleitz, Dennis Michael 319815Agent - Life7/28/20061/16/2014
InactiveFreibert, Jason Robert 679855Agent - Health2/27/20121/16/2014
InactiveFreibert, Jason Robert 679855Agent - Life2/27/20121/16/2014
DeniedGailor, Janeen C 345488Agent - Health  
DeniedGailor, Janeen C 345488Agent - Life  
InactiveGilbreath, Calvin Ray 372045Agent - Health1/28/198712/1/2013
InactiveGilbreath, Calvin Ray 372045Agent - Life1/28/198712/1/2013
InactiveGilbreath, Deborah Nix 740489Agent - Health12/19/201012/1/2022
InactiveGilbreath, John Charles 364690Agent - Casualty11/2/201012/1/2014
InactiveGilbreath, John Charles 364690Agent - Health9/15/200912/1/2014
InactiveGilbreath, John Charles 364690Agent - Life9/15/200912/1/2014
InactiveGilbreath, John Charles 364690Agent - Property11/2/201012/1/2014
InactiveGustafson, Theodore Bert 580363Agent - Health11/4/20052/6/2007
InactiveGustafson, Theodore Bert 580363Agent - Life11/4/20052/6/2007
InactiveHedberg, Willard Paul 308902Agent - Health7/20/200712/31/2008
InactiveHedberg, Willard Paul 308902Agent - Life7/20/200712/31/2008
InactiveHelton, Van Howard 631325Agent - Casualty5/29/20093/18/2011
InactiveHelton, Van Howard 631325Agent - Health8/10/20063/18/2011
InactiveHelton, Van Howard 631325Agent - Life8/10/20063/18/2011
InactiveHelton, Van Howard 631325Agent - Property5/29/20093/18/2011
InactiveHelton, Warren Carl 373862Agent - Health1/20/20053/18/2011
InactiveHelton, Warren Carl 373862Agent - Life1/20/20053/18/2011
InactiveHillard, William Thomas 638963Agent - Health1/19/20111/1/2013
InactiveHillard, William Thomas 638963Agent - Life12/14/20061/1/2013
InactiveJustice, Howard Keith 322947Agent - Health12/29/20082/15/2011
InactiveJustice, Howard Keith 322947Agent - Life12/29/20082/15/2011
InactiveMay, John Darrell 386723Agent - Casualty11/8/20105/24/2023
InactiveMay, John Darrell 386723Agent - Health1/20/200511/1/2023
InactiveMay, John Darrell 386723Agent - Life1/20/200511/1/2023
InactiveMay, John Darrell 386723Agent - Property11/8/20105/24/2023
InactiveMoore, Richard L 377332Agent - Health3/10/200810/31/2009
InactiveMoore, Richard L 377332Agent - Life3/10/200810/31/2009
ActivePayne, Misty Dawn 593431Agent - Health4/8/2006 
ActivePayne, Misty Dawn 593431Agent - Life4/8/2006 
InactiveRaymond, Richard Harrison 675349Agent - Health3/4/20156/2/2017
InactiveRaymond, Richard Harrison 675349Agent - Life3/4/20156/2/2017
ActiveRaymond, Robert B 382820Agent - Casualty3/4/2015 
ActiveRaymond, Robert B 382820Agent - Health6/18/2013 
ActiveRaymond, Robert B 382820Agent - Life6/18/2013 
ActiveRaymond, Robert B 382820Agent - Property3/4/2015 
InactiveRaymond, Ronnie Lake 314158Agent - Health1/28/19872/28/2021
InactiveRaymond, Ronnie Lake 314158Agent - Life1/28/19872/28/2021
InactiveRaymond, Susan J. 834650Agent - Casualty5/1/20172/10/2021
InactiveRaymond, Susan J. 834650Agent - Health3/14/20142/10/2021
InactiveRaymond, Susan J. 834650Agent - Life3/14/20142/10/2021
InactiveRaymond, Susan J. 834650Agent - Property5/1/20172/10/2021
InactiveRedd, Johni Louise 608965Agent - Health8/18/20062/6/2007
InactiveRedd, Johni Louise 608965Agent - Life8/18/20062/6/2007
InactiveRichardson, Stephen Kent 372602Agent - Health8/4/20059/1/2016
InactiveRichardson, Stephen Kent 372602Agent - Life9/2/201412/7/2015
InactiveRiney, Timothy Rodman 332182Agent - Health4/10/20088/27/2010
InactiveRiney, Timothy Rodman 332182Agent - Life4/10/20088/27/2010
InactiveRussell, Robert Cecil 322404Agent - Casualty1/6/20145/1/2017
InactiveRussell, Robert Cecil 322404Agent - Health1/6/20145/1/2017
InactiveRussell, Robert Cecil 322404Agent - Life1/6/20145/1/2017
InactiveRussell, Robert Cecil 322404Agent - Property1/6/20145/1/2017
InactiveShavers, Matthew W 614410Agent - Health12/13/20064/1/2008
InactiveShavers, Matthew W 614410Agent - Life12/13/20064/1/2008
DeniedSmith, Jason D 785671Agent - Casualty  
DeniedSmith, Jason D 785671Agent - Health  
DeniedSmith, Jason D 785671Agent - Life  
DeniedSmith, Jason D 785671Agent - Property  
InactiveSturm, Michael Allen 650469Agent - Health10/15/200712/1/2017
InactiveSturm, Michael Allen 650469Agent - Life10/15/200712/1/2017
InactiveTrogden, Paul Darrin 587154Agent - Casualty11/2/201012/31/2021
DeniedTrogden, Paul Darrin 587154Agent - Health  
InactiveTrogden, Paul Darrin 587154Agent - Life8/4/20057/14/2014
InactiveTrogden, Paul Darrin 587154Agent - Property11/2/201012/31/2021
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/199812/31/2001
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/199812/31/2001
InactiveWhitton, Chad Michael 348840Agent - Casualty10/28/20101/16/2014
InactiveWhitton, Chad Michael 348840Agent - Health8/4/20051/16/2014
InactiveWhitton, Chad Michael 348840Agent - Life8/4/20051/16/2014
InactiveWhitton, Chad Michael 348840Agent - Property10/28/20101/16/2014
InactiveWilkerson, Louis Hunter 659210Agent - Health3/3/20085/1/2009
InactiveWilkerson, Louis Hunter 659210Agent - Life3/3/20085/1/2009
InactiveWorth, John Lee 312381Agent - Health10/1/19998/27/2010
InactiveWorth, John Lee 312381Agent - Health Maintenance Organization10/1/19993/1/2001
InactiveWorth, John Lee 312381Agent - Life10/1/19998/27/2010

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