DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Fidelity General Agency Inc.DOIID399316NAIC NPN1997743
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/13/1996 3/31/2026
ActiveNon ResidentAgentHealth9/13/1996 3/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities4/15/2005 3/31/2026
InactiveNon ResidentAgentNon-profit Health Service10/21/19993/1/2001 
InactiveNon ResidentAgentPrepaid Dental Plan10/21/19993/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Fidelity Assurance Company301004Agent - Health9/13/1996 
ActiveAmerican Fidelity Assurance Company301004Agent - Life9/13/1996 
ActiveAmerican Fidelity Assurance Company301004Agent - Variable Life and Variable Annuities4/26/2005 
InactiveAmerican General Assurance Company300586Agent - Health12/31/200212/31/2012
InactiveAmerican General Assurance Company300586Agent - Life12/31/200212/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20123/2/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20123/2/2017
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Health5/21/200112/31/2002
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Life5/21/200112/31/2002
InactiveAmerican Heritage Life Insurance Company300272Agent - Health10/17/20136/15/2015
InactiveAmerican Heritage Life Insurance Company300272Agent - Life10/17/20136/15/2015
InactiveAmerican Public Life Insurance Company300252Agent - Health9/13/20008/5/2019
InactiveAmerican Public Life Insurance Company300252Agent - Life9/13/20008/5/2019
ActiveAmerican United Life Insurance Company300498Agent - Health2/9/1999 
ActiveAmerican United Life Insurance Company300498Agent - Life2/9/1999 
ActiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities4/17/2020 
ActiveAmeritas Life Insurance Corporation300126Agent - Health2/25/2020 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/4/2016 
ActiveAnthem Life Insurance Company301209Agent - Health5/4/2016 
ActiveAnthem Life Insurance Company301209Agent - Life5/4/2016 
ActiveBanner Life Insurance Company301696Agent - Life5/1/2015 
InactiveBerkshire Life Insurance Company of America300983Agent - Health11/1/20119/16/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life11/1/20119/16/2013
ActiveBoston Mutual Life Insurance Company300143Agent - Health5/31/2019 
ActiveBoston Mutual Life Insurance Company300143Agent - Life5/31/2019 
ActiveCombined Insurance Company of America301472Agent - Health7/25/2016 
ActiveCombined Insurance Company of America301472Agent - Life7/25/2016 
InactiveCompBenefits Dental, Inc.591692Agent - Health2/10/20055/2/2017
ActiveCompBenefits Insurance Company301864Agent - Health11/19/2019 
InactiveCompBenefits Insurance Company301864Agent - Life1/30/20046/26/2013
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveDelta Dental of Kentucky, Inc.301166Agent - Health3/1/2001 
InactiveDelta Dental of Kentucky, Inc.301166Agent - Non-profit Health Service10/21/19993/1/2001
InactiveDelta Dental of Kentucky, Inc.301166Agent - Prepaid Dental Plan10/21/19993/1/2001
ActiveDental Care Plus Inc.301495Agent - Health11/18/2005 
ActiveDental Concern Inc. (The)301641Agent - Health8/30/2018 
InactiveDentiCare, Inc.300655Agent - Health7/17/200311/1/2005
ActiveFidelity Security Life Insurance Company300466Agent - Health8/8/2012 
ActiveFidelity Security Life Insurance Company300466Agent - Life8/8/2012 
InactiveFirst Colony Life Insurance Company301179Agent - Life6/15/20007/19/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/1/201110/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Health11/1/201110/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life11/1/201110/5/2021
InactiveHM Life Insurance Company301408Agent - Health1/20/20179/30/2021
InactiveHM Life Insurance Company301408Agent - Life1/20/20179/30/2021
ActiveHartford Life and Accident Insurance Company300878Agent - Health3/6/2015 
ActiveHartford Life and Accident Insurance Company300878Agent - Life3/6/2015 
ActiveHealth Resources Inc.301210Agent - Health3/1/2001 
InactiveHealth Resources Inc.301210Agent - Prepaid Dental Plan2/22/20003/1/2001
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/15/20145/2/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/31/20145/2/2017
ActiveHumana Health Plan, Inc.300142Agent - Health6/18/2018 
ActiveHumana Insurance Company301104Agent - Health6/18/2018 
ActiveHumana Insurance Company301104Agent - Life6/18/2018 
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/27/20075/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/27/20075/2/2017
InactiveHumana Medical Plan, Inc.801568Agent - Health12/15/20145/2/2017
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/5/20166/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health4/12/20196/7/2019
InactiveHumanaDental Insurance Company301457Agent - Life4/12/20196/7/2019
InactiveIndianapolis Life Insurance Company301381Agent - Health8/30/19999/17/2001
InactiveIndianapolis Life Insurance Company301381Agent - Life8/30/19999/17/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health6/8/20017/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life6/8/20017/2/2007
InactiveKanawha Insurance Company300127Agent - Health3/7/20188/9/2018
InactiveKanawha Insurance Company300127Agent - Life3/7/20188/9/2018
InactiveLafayette Life Insurance Company (The)301039Agent - Health5/16/20055/10/2011
InactiveLafayette Life Insurance Company (The)301039Agent - Life5/16/20055/10/2011
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/30/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/30/2007 
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/30/20074/6/2016
ActiveMadison National Life Insurance Company Inc.301458Agent - Health4/18/2016 
ActiveMadison National Life Insurance Company Inc.301458Agent - Life4/18/2016 
ActiveMetropolitan Life Insurance Company301948Agent - Health4/8/2002 
ActiveMetropolitan Life Insurance Company301948Agent - Life4/8/2002 
InactiveMutual of Omaha Insurance Company301012Agent - Health9/20/20021/23/2014
ActiveNational Guardian Life Insurance Company300596Agent - Health11/15/2013 
InactiveNorthern Life Insurance Company300301Agent - Life2/4/200010/2/2002
ActiveObsidian Insurance Company301819Agent - Health10/18/2022 
ActivePrincipal Life Insurance Company300129Agent - Health1/3/2014 
ActivePrincipal Life Insurance Company300129Agent - Life1/3/2014 
InactiveProtective Life Insurance Company300638Agent - Health12/4/199912/15/2003
InactiveProtective Life Insurance Company300638Agent - Life12/4/199912/15/2003
ActiveReliaStar Life Insurance Company301712Agent - Health2/9/2016 
ActiveReliaStar Life Insurance Company301712Agent - Life2/9/2016 
InactiveReliaStar Life Insurance Company of New York301018Agent - Health12/20/20026/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life12/20/20026/25/2008
InactiveSecurity Life Insurance Company of America300936Agent - Health1/13/200312/2/2004
InactiveSecurity Life Insurance Company of America300936Agent - Life1/13/200312/2/2004
ActiveStandard Insurance Company300185Agent - Health12/28/2023 
ActiveStandard Insurance Company300185Agent - Life11/25/2002 
ActiveStarmount Life Insurance Company628031Agent - Health9/6/2017 
ActiveStarmount Life Insurance Company628031Agent - Life9/6/2017 
ActiveSun Life Assurance Company of Canada301811Agent - Health9/2/2019 
ActiveSun Life Assurance Company of Canada301811Agent - Life9/2/2019 
ActiveSuperior Dental Care Inc.300418Agent - Health7/1/2013 
ActiveTexas Life Insurance Company300345Agent - Life5/8/2000 
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life3/26/20126/20/2018
InactiveTransamerica Assurance Company300893Agent - Health11/15/199910/1/2004
InactiveTransamerica Assurance Company300893Agent - Life11/15/199910/1/2004
InactiveTransamerica Life Insurance Company300571Agent - Health5/14/20047/23/2016
InactiveTransamerica Life Insurance Company300571Agent - Life5/14/20047/23/2016
InactiveUnion Security Insurance Company301844Agent - Health2/7/200211/23/2020
InactiveUnion Security Insurance Company301844Agent - Life2/7/200211/23/2020
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health9/26/20061/7/2013
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health9/26/20061/7/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/11/20091/23/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/11/20091/23/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities11/11/20091/23/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/18/200711/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/18/200711/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/18/200711/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/18/200711/30/2016
ActiveVision Service Plan Insurance Company300526Agent - Health11/18/2010 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAyers, Shannon 318549Agent - Health9/13/199610/17/1997
InactiveAyers, Shannon 318549Agent - Life9/13/199610/17/1997
InactiveBinford, Thomas Ray 382047Agent - Health1/30/20075/16/2022
InactiveBinford, Thomas Ray 382047Agent - Life1/30/20075/16/2022
InactiveBinford, Thomas Ray 382047Agent - Variable Life and Variable Annuities1/30/20077/1/2020
InactiveBorton, Mark Edward 325797Agent - Health9/13/19962/22/1998
InactiveBorton, Mark Edward 325797Agent - Life9/13/19962/22/1998
InactiveCenters, Dennis Michael 378924Agent - Health1/30/20072/28/2015
InactiveCenters, Dennis Michael 378924Agent - Life1/30/20072/28/2015
InactiveCoffelt, Gary D 344657Agent - Health9/13/19962/24/2003
InactiveCoffelt, Gary D 344657Agent - Life9/13/19962/24/2003
InactiveDouglas, Virginia Grace 611872Agent - Health1/30/20078/26/2014
InactiveDouglas, Virginia Grace 611872Agent - Life1/30/20079/17/2014
InactiveDouglas, Virginia Grace 611872Agent - Variable Life and Variable Annuities1/30/20078/26/2014
InactiveEngland, Jobeth 362947Agent - Health9/13/19991/1/2017
InactiveEngland, Jobeth 362947Agent - Life9/13/19991/1/2017
InactiveFossett, Donna Totich 362161Agent - Health9/13/19968/21/2023
InactiveFossett, Donna Totich 362161Agent - Life9/13/19968/21/2023
InactiveGivan, Paul E 392636Agent - Health9/13/19962/24/2003
InactiveGivan, Paul E 392636Agent - Life9/13/19962/24/2003
ActiveGodsey, Cynthia Marie 570399Agent - Health1/30/2007 
ActiveGodsey, Cynthia Marie 570399Agent - Life1/30/2007 
ActiveGodsey, Cynthia Marie 570399Agent - Variable Life and Variable Annuities1/30/2007 
InactiveHammons, Earl Lewis 327294Agent - Health9/13/19961/22/1998
InactiveHammons, Earl Lewis 327294Agent - Life9/13/19961/22/1998
InactiveHartfield, Leo 318113Agent - Health9/13/19962/1/2003
InactiveHartfield, Leo 318113Agent - Life9/13/19962/1/2003
InactiveHilliard, Todd William 382535Agent - Health9/13/19962/24/2003
InactiveHilliard, Todd William 382535Agent - Life9/13/19962/24/2003
ActiveHoffman, Lesa Kay 363946Agent - Health1/30/2007 
ActiveHoffman, Lesa Kay 363946Agent - Life1/30/2007 
InactiveHynous, Mary Janetta 334503Agent - Health1/30/200710/1/2014
InactiveHynous, Mary Janetta 334503Agent - Life1/30/200710/1/2014
InactiveHynous, Mary Janetta 334503Agent - Variable Life and Variable Annuities1/30/20071/8/2014
InactiveJames, Mary Lynn 325510Agent - Health1/30/200710/28/2015
InactiveJames, Mary Lynn 325510Agent - Life1/30/200710/28/2015
InactiveJohnson, Keith R 314895Agent - Health9/13/19968/11/2003
InactiveJohnson, Keith R 314895Agent - Life9/13/19968/11/2003
InactiveKing, Thomas Hudson 392252Agent - Health9/13/19962/24/2003
InactiveKing, Thomas Hudson 392252Agent - Life9/13/19962/24/2003
ActiveMathis, Kathryn Lee 612116Agent - Health5/1/2009 
ActiveMathis, Kathryn Lee 612116Agent - Life1/30/2007 
ActiveMathis, Kathryn Lee 612116Agent - Variable Life and Variable Annuities1/30/2007 
InactiveMonroe, Terry L 357844Agent - Health9/13/19962/3/2005
InactiveMonroe, Terry L 357844Agent - Life9/13/19962/3/2005
InactiveMorris, Michael Stephen 351846Agent - Health9/13/19994/15/1999
InactiveMorris, Michael Stephen 351846Agent - Life9/13/19994/15/1999
ActiveMosley, James Dewey 329405Agent - Health9/13/1996 
ActiveMosley, James Dewey 329405Agent - Life9/13/1996 
InactiveMurphy, Kathleen Mary 629123Agent - Health1/30/20073/27/2007
InactiveMurphy, Kathleen Mary 629123Agent - Life1/30/20074/3/2007
InactiveMurphy, Kathleen Mary 629123Agent - Variable Life and Variable Annuities1/30/20073/27/2007
InactiveOlliges, Joseph Patrick 384975Agent - Health1/30/20075/1/2012
InactiveOlliges, Joseph Patrick 384975Agent - Life1/30/200711/23/2011
InactiveOlliges, Joseph Patrick 384975Agent - Variable Life and Variable Annuities1/30/200711/18/2011
InactiveQuerry, Roger A 309490Agent - Health9/13/19962/4/2004
InactiveQuerry, Roger A 309490Agent - Life9/13/19962/4/2004
InactiveRatliff, Jerry Dale 354706Agent - Health9/13/19962/24/2003
InactiveRatliff, Jerry Dale 354706Agent - Life9/13/19962/24/2003
InactiveRogers, Linda K 311728Agent - Health9/13/19997/31/2005
InactiveRogers, Linda K 311728Agent - Life9/13/19997/31/2005
InactiveRogers, Ron D 302405Agent - Health9/13/199612/16/1998
InactiveRogers, Ron D 302405Agent - Life9/13/199612/16/1998
ActiveSchwab, Clinton Mark 575387Agent - Health2/3/2005 
ActiveSchwab, Clinton Mark 575387Agent - Life2/3/2005 
ActiveSchwab, Clinton Mark 575387Agent - Variable Life and Variable Annuities4/15/2005 
InactiveSears, Gloria H 368613Agent - Health9/13/199612/1/2000
InactiveSears, Gloria H 368613Agent - Life9/13/199612/1/2000
InactiveShafer, Frank Edward 350409Agent - Health9/13/19966/30/2005
InactiveShafer, Frank Edward 350409Agent - Life9/13/19966/30/2005
InactiveSledge, Thomas Darrell 586132Agent - Health1/30/20072/20/2009
InactiveSledge, Thomas Darrell 586132Agent - Life1/30/20072/20/2009
InactiveSledge, Thomas Darrell 586132Agent - Variable Life and Variable Annuities1/30/20072/20/2009
InactiveSnyder, Jeffry Gerald 362832Agent - Health1/30/200711/1/2022
InactiveSnyder, Jeffry Gerald 362832Agent - Life1/30/200711/1/2022
InactiveStinson, Cynthia Gayle 355374Agent - Health1/30/200711/27/2018
InactiveStinson, Cynthia Gayle 355374Agent - Life1/30/20071/5/2017
InactiveStinson, Cynthia Gayle 355374Agent - Variable Life and Variable Annuities1/30/20074/2/2015
InactiveWelch, Stephanie 369697Agent - Health9/13/19962/1/2003
InactiveWelch, Stephanie 369697Agent - Life9/13/19962/1/2003
InactiveWyatt, Matthew Jerry 556928Agent - Health1/30/200712/1/2009
InactiveWyatt, Matthew Jerry 556928Agent - Life1/30/200712/1/2009
InactiveWyatt, Matthew Jerry 556928Agent - Variable Life and Variable Annuities1/30/200712/1/2009

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