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DEPARTMENT OF INSURANCE
Affiliations
Name
Financial Group LLC [The]
DOIID
399304
NAIC NPN
5784747
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health Maintenance Organization
9/13/1999
3/1/2001
Inactive
Non Resident
Agent
Life
2/18/2002
3/31/2015
Inactive
Non Resident
Agent
Health
2/18/2002
3/31/2015
* 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
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/2/2003
9/18/2009
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/2/2003
9/18/2009
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
4/9/2003
12/28/2010
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/2/2004
4/6/2015
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
9/2/2004
4/6/2015
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
11/5/2007
3/31/2015
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
11/29/2007
12/13/2011
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
11/29/2007
12/13/2011
Inactive
CHA HMO, Inc.
300662
Agent - Health
7/21/2005
12/10/2012
Inactive
CIGNA Dental Health of Kentucky, Inc.
300904
Agent - Health
6/2/2005
3/31/2015
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
6/16/2006
4/2/2015
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
6/16/2006
4/2/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/25/2008
10/9/2014
Inactive
CompBenefits Insurance Company
301864
Agent - Health
4/25/2008
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
4/25/2008
7/2/2013
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
6/2/2005
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
6/2/2005
6/11/2014
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
2/26/2007
10/9/2014
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/26/2005
3/24/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/26/2005
3/24/2008
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
11/29/2007
4/10/2015
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
11/29/2007
4/10/2015
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/22/2013
10/9/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/26/2007
10/9/2014
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
9/13/1999
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
3/26/2007
10/9/2014
Inactive
Humana Insurance Company
301104
Agent - Life
3/26/2007
10/9/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/29/2004
10/9/2014
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/29/2004
10/9/2014
Inactive
HumanaDental Insurance Company
301457
Agent - Health
5/19/2005
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
5/19/2005
5/13/2013
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
6/26/2002
9/9/2002
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
6/26/2002
9/9/2002
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
6/26/2002
9/9/2002
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
6/26/2002
9/9/2002
Inactive
John Alden Life Insurance Company
300573
Agent - Health
2/17/2003
2/15/2005
Inactive
John Alden Life Insurance Company
300573
Agent - Life
2/17/2003
2/15/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
9/1/2006
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
9/1/2006
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/1/2006
3/31/2015
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/1/2006
3/31/2015
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
9/1/2006
2/24/2009
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/16/2012
10/9/2014
Inactive
Kanawha Insurance Company
300127
Agent - Life
2/8/2010
10/9/2014
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/18/2002
3/31/2015
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/18/2002
3/31/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
12/20/2007
3/31/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
12/20/2007
3/31/2015
Inactive
Time Insurance Company
300683
Agent - Health
5/27/2003
8/19/2010
Inactive
Time Insurance Company
300683
Agent - Life
5/27/2003
8/19/2010
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
12/20/2007
3/31/2015
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
12/20/2007
3/31/2015
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
3/22/2002
3/31/2015
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/22/2002
3/31/2015
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
1/31/2003
3/31/2015
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
12/10/2013
3/31/2015
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
8/18/2005
8/18/2009
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Blunk, Todd Alan
353215
Agent - Health
9/13/1999
3/31/2015
Inactive
Blunk, Todd Alan
353215
Agent - Life
9/13/1999
3/31/2015
Inactive
Glover, Greg Dale
343041
Agent - Health
9/13/1999
3/31/2015
Inactive
Glover, Greg Dale
343041
Agent - Life
9/13/2012
3/31/2015
Inactive
Hutchison, Lisa Kim
603470
Agent - Health
2/11/2013
3/31/2015
Inactive
Hutchison, Lisa Kim
603470
Agent - Life
1/25/2007
1/31/2013
Inactive
Lomax, Jeremy Ray
604429
Agent - Health
5/2/2005
10/30/2006
Inactive
Lomax, Jeremy Ray
604429
Agent - Life
5/2/2005
10/30/2006
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