DEPARTMENT OF INSURANCE
Affiliations
NameGreen & Halliburton, Inc.DOIID398934NAIC NPN7221280
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife9/28/1993 3/31/2025
ActiveResidentAgentHealth9/28/1993 3/31/2025
InactiveResidentAgentHealth Maintenance Organization2/22/19943/1/2001 
* 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
InactiveAdvantage Care, Inc.300998Agent - Health Maintenance Organization2/22/199412/31/1998
InactiveAetna Health Inc.300694Agent - Health10/18/200012/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health6/12/2023 
ActiveAetna Life Insurance Company301140Agent - Health6/12/2023 
InactiveAetna Life Insurance Company301140Agent - Life11/18/19977/26/2022
ActiveAll Savers Insurance Company301940Agent - Health6/15/2022 
ActiveAll Savers Insurance Company301940Agent - Life6/15/2022 
InactiveAmFirst Insurance Company999525Agent - Health6/1/20223/1/2023
ActiveAmFirst Insurance Company999525Agent - Life6/1/2022 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/23/2006 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/23/2006 
InactiveAmerican Fidelity Assurance Company301004Agent - Health9/20/200212/22/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life9/20/200212/22/2004
InactiveAmerican General Life Insurance Company301585Agent - Health5/28/201511/2/2017
InactiveAmerican General Life Insurance Company301585Agent - Life5/28/201511/2/2017
ActiveAmerican Heritage Life Insurance Company300272Agent - Health11/3/1993 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life11/3/1993 
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 - Health10/1/2015 
ActiveAmerican United Life Insurance Company300498Agent - Life10/1/2015 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/20/20101/12/2017
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/20/20101/12/2017
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/15/2002 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health8/14/1995 
ActiveAnthem Life Insurance Company301209Agent - Life8/14/1995 
ActiveArcadian Health Plan, Inc.728196Agent - Health9/2/2022 
InactiveAssurity Life Insurance Company301099Agent - Health11/17/19985/10/2002
InactiveAssurity Life Insurance Company301099Agent - Life11/17/19985/10/2002
ActiveBanner Life Insurance Company301696Agent - Life4/27/2005 
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization5/21/19993/1/2001
ActiveBerkshire Life Insurance Company of America300983Agent - Health4/13/2015 
ActiveBerkshire Life Insurance Company of America300983Agent - Life4/13/2015 
ActiveBoston Mutual Life Insurance Company300143Agent - Health4/1/1997 
ActiveBoston Mutual Life Insurance Company300143Agent - Life4/1/1997 
ActiveCHA HMO, Inc.300662Agent - Health10/17/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health3/20/2018 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life3/20/2018 
ActiveCitizens Security Life Insurance Company301257Agent - Health11/3/1993 
ActiveCitizens Security Life Insurance Company301257Agent - Life11/3/1993 
ActiveColonial Life and Accident Insurance Company300846Agent - Health12/16/2021 
ActiveColonial Life and Accident Insurance Company300846Agent - Life12/16/2021 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/200812/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health3/6/2020 
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/28/2021 
InactiveConseco Health Insurance Company301725Agent - Health9/12/20065/20/2009
InactiveConseco Health Insurance Company301725Agent - Life9/12/20065/20/2009
InactiveConseco Insurance Company301202Agent - Health9/12/200610/1/2010
InactiveConseco Insurance Company301202Agent - Life9/12/200610/1/2010
ActiveContinental American Insurance Company301700Agent - Health10/31/2017 
ActiveContinental American Insurance Company301700Agent - Life10/31/2017 
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveDearborn Life Insurance Company300401Agent - Health10/7/2014 
ActiveDearborn Life Insurance Company300401Agent - Life10/7/2014 
ActiveDental Concern Inc. (The)301641Agent - Health6/17/2002 
InactiveEmpower Annuity Insurance Company of America300259Agent - Health11/1/199310/18/2004
InactiveEmpower Annuity Insurance Company of America300259Agent - Life11/1/199310/18/2004
InactiveEquitable Financial Life Insurance Company300808Agent - Health7/17/201312/20/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Life7/17/201312/20/2018
InactiveFirst Colony Life Insurance Company301179Agent - Life3/31/19941/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health2/7/199712/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life2/7/199712/12/2008
InactiveGeneral American Life Insurance Company300280Agent - Health11/15/199311/14/2009
InactiveGeneral American Life Insurance Company300280Agent - Life11/15/199311/14/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/9/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/4/2012
InactiveGolden Rule Insurance Company301943Agent - Health9/26/201112/13/2014
InactiveGolden Rule Insurance Company301943Agent - Life9/26/201112/13/2014
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/13/201510/5/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health4/13/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/13/2015 
InactiveHM Life Insurance Company301408Agent - Health5/19/19959/11/2007
InactiveHM Life Insurance Company301408Agent - Life5/19/19959/11/2007
ActiveHartford Life and Accident Insurance Company300878Agent - Health5/19/2004 
ActiveHartford Life and Accident Insurance Company300878Agent - Life5/19/2004 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/12/2021 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health4/12/2021 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/29/19963/1/2001
ActiveHumana Insurance Company301104Agent - Health7/3/1995 
ActiveHumana Insurance Company301104Agent - Life7/3/1995 
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2019 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/30/2019 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/12/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/12/2021 
InactiveHumanaDental Insurance Company301457Agent - Health3/26/20015/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health7/15/200312/13/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Life7/15/200312/13/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/6/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/6/20027/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health5/21/200411/14/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life5/21/200411/14/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/9/200412/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/9/200412/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health10/22/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life10/22/2008 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/9/20042/24/2009
InactiveKanawha Insurance Company300127Agent - Health4/11/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life4/11/20088/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/8/201310/29/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/19988/19/2003
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/19988/19/2003
InactiveLife Insurance Company of Alabama301439Agent - Health5/6/20023/10/2020
InactiveLife Insurance Company of Alabama301439Agent - Life5/6/20023/10/2020
ActiveLife Insurance Company of North America300711Agent - Health3/30/2011 
ActiveLife Insurance Company of North America300711Agent - Life3/30/2011 
InactiveLife Investors Insurance Company of America301793Agent - Health5/22/20035/17/2005
InactiveLife Investors Insurance Company of America301793Agent - Life5/22/20035/6/2005
InactiveLincoln Benefit Life Company301110Agent - Health2/27/200612/18/2010
InactiveLincoln Benefit Life Company301110Agent - Life2/27/200612/18/2010
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/6/2005 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/6/2005 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health2/18/2020 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Life2/18/2020 
InactiveMedAmerica Insurance Company301568Agent - Health12/22/20094/6/2016
InactiveMedical Life Insurance Company300693Agent - Health5/10/200112/31/2004
InactiveMedical Life Insurance Company300693Agent - Life5/10/200112/31/2004
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/8/200611/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/8/200611/14/2009
ActiveMetropolitan Life Insurance Company301948Agent - Health4/9/1999 
ActiveMetropolitan Life Insurance Company301948Agent - Life4/9/1999 
InactiveMidland Life Insurance Company (The)300310Agent - Health8/9/19993/12/2002
InactiveMidland Life Insurance Company (The)300310Agent - Life8/9/19993/12/2002
InactiveNational Guardian Life Insurance Company300596Agent - Health9/28/19933/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life9/28/19933/31/1999
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/25/2017 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health5/27/200911/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life5/27/20097/17/2012
InactivePacific Life & Annuity Company300443Agent - Health1/29/20015/4/2006
InactivePacific Life & Annuity Company300443Agent - Life1/29/20015/4/2006
ActivePacific Life Insurance Company301848Agent - Health1/2/2024 
ActivePacific Life Insurance Company301848Agent - Life1/2/2024 
ActivePrincipal Life Insurance Company300129Agent - Health10/29/1993 
ActivePrincipal Life Insurance Company300129Agent - Life10/29/1993 
ActivePrincipal National Life Insurance Company301926Agent - Life9/15/2014 
InactiveProfessional Insurance Company301281Agent - Health2/11/19976/20/2006
InactiveProfessional Insurance Company301281Agent - Life2/11/19976/20/2006
InactiveProtective Life Insurance Company300638Agent - Health1/1/200712/13/2010
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/13/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/11/199412/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/11/199412/30/2009
InactivePrudential Insurance Company of America300784Agent - Health10/12/199912/21/2010
InactivePrudential Insurance Company of America300784Agent - Life10/12/199912/21/2010
InactiveReassure America Life Insurance Company300678Agent - Health3/12/20029/30/2007
InactiveReassure America Life Insurance Company301902Agent - Health9/30/200711/23/2011
InactiveReassure America Life Insurance Company301902Agent - Life6/7/19991/2/2003
InactiveReassure America Life Insurance Company300678Agent - Life3/12/20021/31/2007
InactiveReliaStar Life Insurance Company301712Agent - Life6/10/201010/6/2012
ActiveReliance Standard Life Insurance Company300584Agent - Health11/9/1993 
ActiveReliance Standard Life Insurance Company300584Agent - Life11/9/1993 
InactiveSecurity Life of Denver Insurance Company300648Agent - Life12/11/20099/29/2012
ActiveStandard Insurance Company300185Agent - Health11/22/1993 
ActiveStandard Insurance Company300185Agent - Life11/22/1993 
ActiveSuperior Dental Care Inc.300418Agent - Health3/19/2015 
ActiveSymetra Life Insurance Company301691Agent - Health3/29/2018 
ActiveSymetra Life Insurance Company301691Agent - Life3/29/2018 
ActiveTalcott Resolution Life Insurance Company301759Agent - Health5/19/2004 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life5/19/2004 
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life4/15/20116/20/2018
InactiveTime Insurance Company300683Agent - Health11/19/201411/15/2019
InactiveTime Insurance Company300683Agent - Life11/19/201411/15/2019
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20089/15/2023
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health1/10/20038/17/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life3/3/200610/1/2008
ActiveTrustmark Life Insurance Company301286Agent - Health11/1/2023 
ActiveTrustmark Life Insurance Company301286Agent - Life11/1/2023 
InactiveUNUM Life Insurance Company of America300817Agent - Health6/11/199912/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life6/11/199912/30/2009
InactiveUnion Security Insurance Company301844Agent - Health10/3/20173/8/2021
InactiveUnion Security Insurance Company301844Agent - Life10/3/20173/8/2021
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health6/12/20011/4/2013
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health6/12/20011/4/2013
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/23/2015 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/23/2015 
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/9/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/9/19933/31/1997
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/2001 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization11/17/19983/1/2001
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/29/2022 
InactiveWashington National Insurance Company300587Agent - Health10/1/201012/21/2010
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/21/2010
InactiveWest Coast Life Insurance Company301607Agent - Health2/27/200612/15/2008
InactiveWest Coast Life Insurance Company301607Agent - Life2/27/200612/15/2008
Inactive300277Agent - Health4/21/19981/1/2007
Inactive300277Agent - Life12/21/20041/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarpenter, Virginia Adella 912468Agent - Health3/27/20174/24/2017
InactiveCarpenter, Virginia Adella 912468Agent - Life3/27/20174/24/2017
DeniedCovington, Henry Christopher 940722Agent - Health  
DeniedCovington, Henry Christopher 940722Agent - Life  
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
DeniedEvanoff, Carrie E 521251Agent - Health  
DeniedEvanoff, Carrie E 521251Agent - Life  
InactiveFears, Larry Rick 390786Agent - Health1/10/20031/19/2011
InactiveFears, Larry Rick 390786Agent - Life1/10/20031/19/2011
InactiveFitts, April 532671Agent - Health9/11/20023/14/2003
InactiveFitts, April 532671Agent - Life9/11/20023/14/2003
DeniedGoldbach, Leslie Anne 518136Agent - Health  
DeniedGoldbach, Leslie Anne 518136Agent - Life  
DeniedGoodknight, Elizabeth Ann 635584Agent - Health  
DeniedGoodknight, Elizabeth Ann 635584Agent - Life  
ActiveGreen, Cynthia J 384439Agent - Health9/26/2002 
InactiveGreen, Cynthia J 384439Agent - Health Maintenance Organization10/29/19963/1/2001
ActiveGreen, Cynthia J 384439Agent - Life9/26/2002 
DeniedGreen, William R 343211Agent - Health  
DeniedGreen, William R 343211Agent - Life  
ActiveHalliburton, Sandra Jean 556276Agent - Health12/30/2003 
ActiveHalliburton, Sandra Jean 556276Agent - Life12/30/2003 
InactiveHaskett, Kristen Eileen 516877Agent - Health9/11/20022/14/2003
InactiveHaskett, Kristen Eileen 516877Agent - Life9/11/20022/14/2003
InactiveHaworth, Debra G 334846Agent - Health9/22/201612/31/2021
InactiveHaworth, Debra G 334846Agent - Life9/22/201612/31/2021
InactiveHilton, Kasi Michelle 570402Agent - Health10/20/201010/24/2011
InactiveHilton, Kasi Michelle 570402Agent - Life10/20/201010/24/2011
DeniedLytle, Ashton Woods 676381Agent - Health  
DeniedLytle, Ashton Woods 676381Agent - Life  
DeniedMatanich, Ashley 1119918Agent - Health  
DeniedMatanich, Ashley 1119918Agent - Life  
InactiveMorgan, Angela Braden 366839Agent - Health9/10/20131/13/2015
InactiveMorgan, Angela Braden 366839Agent - Life9/10/20131/13/2015
InactiveTorrens, Ginger Renee 362067Agent - Health7/30/199811/24/1999
InactiveTorrens, Ginger Renee 362067Agent - Life7/30/199811/24/1999
ActiveWilliams, Benjamin Rueff 592424Agent - Health1/14/2005 
ActiveWilliams, Benjamin Rueff 592424Agent - Life1/14/2005 

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