DEPARTMENT OF INSURANCE
Affiliations
NameStatewide Insurance Services, Inc.
DBA : Kahcf Ins Agy
DOIID399559NAIC NPN3198150
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty6/7/2022 3/31/2026
ActiveResidentAgentLife6/9/2022 3/31/2026
ActiveResidentAgentHealth6/9/2022 3/31/2026
DeniedResidentAgentProperty   
InactiveResidentAgentPrepaid Dental Plan4/27/19983/1/2001 
InactiveResidentAgentHealth Maintenance Organization4/24/19953/1/2001 
InactiveResidentAgentGeneral Lines7/1/19928/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/19/200212/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/21/2010
InactiveAetna Life Insurance Company301140Agent - Health3/19/20029/21/2010
InactiveAetna Life Insurance Company301140Agent - Life3/19/20029/21/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/2/200211/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/2/200211/22/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/19/20014/15/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/19/20014/15/2011
InactiveAmerican Fidelity Assurance Company301004Agent - Health4/23/20017/21/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life4/23/20017/21/2004
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/7/19948/2/2006
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/7/19948/2/2006
InactiveAmerican United Life Insurance Company300498Agent - Health4/29/199712/29/1998
InactiveAmerican United Life Insurance Company300498Agent - Life4/29/199712/29/1998
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/20015/15/2017
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health6/15/19945/15/2017
InactiveAnthem Life Insurance Company301209Agent - Life6/15/19945/15/2017
InactiveAthene Annuity & Life Assurance Company301798Agent - Health1/25/199610/5/1998
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/25/199610/5/1998
InactiveBanner Life Insurance Company301696Agent - Life9/20/20013/31/2022
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization2/11/20003/1/2001
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/8/19973/13/2009
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/8/19973/13/2009
InactiveCHA HMO, Inc.300662Agent - Health2/1/200212/10/2012
InactiveCitizens Security Life Insurance Company301257Agent - Health2/2/20103/31/2022
InactiveCitizens Security Life Insurance Company301257Agent - Life6/6/199612/16/2004
ActiveClearPath Insurance Company979815Agent - Casualty9/1/2022 
InactiveColonial Life and Accident Insurance Company300846Agent - Health3/7/199610/27/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life3/7/199610/27/2006
InactiveCompBenefits Dental, Inc.591692Agent - Health1/10/200512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health10/31/20037/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life10/31/20037/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan4/27/19983/1/2001
InactiveContinental Casualty Company301019Agent - Health9/24/199711/29/2004
InactiveDearborn Life Insurance Company300401Agent - Health6/1/200612/19/2011
InactiveDearborn Life Insurance Company300401Agent - Life6/1/200612/19/2011
InactiveDental Concern Inc. (The)301641Agent - Health12/22/201612/19/2019
InactiveFireman's Fund Insurance Company301423Agent - Casualty5/15/20019/8/2004
InactiveFireman's Fund Insurance Company301423Agent - Property5/15/20019/8/2004
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/17/20024/7/2006
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/17/20024/7/2006
InactiveGeneral American Life Insurance Company300280Agent - Health3/28/19954/21/1999
InactiveGeneral American Life Insurance Company300280Agent - Life3/28/19954/21/1999
InactiveGenworth Life Insurance Company300623Agent - Health7/3/199512/22/2003
InactiveGenworth Life Insurance Company300623Agent - Life7/3/199512/22/2003
InactiveGolden Rule Insurance Company301943Agent - Health2/16/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life2/16/19953/31/1997
InactiveHM Life Insurance Company301408Agent - Health5/16/199510/18/2007
InactiveHM Life Insurance Company301408Agent - Life5/16/199510/18/2007
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/24/2022 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/24/2022 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/5/201312/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20013/31/2022
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/24/19953/1/2001
InactiveHumana Insurance Company300118Agent - Health4/24/199512/31/1998
InactiveHumana Insurance Company301104Agent - Health9/1/202212/13/2022
InactiveHumana Insurance Company300118Agent - Life4/24/199512/31/1998
InactiveHumana Insurance Company301104Agent - Life8/8/19963/31/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/14/20203/31/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/14/20203/31/2022
InactiveHumanaDental Insurance Company301457Agent - Health11/17/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life11/17/20092/23/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/1/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/1/20027/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health8/1/20058/1/2011
InactiveJohn Alden Life Insurance Company300573Agent - Life8/1/20058/1/2011
InactiveKanawha Insurance Company300127Agent - Health10/29/201512/8/2017
InactiveKanawha Insurance Company300127Agent - Life9/9/201312/4/2013
InactiveLifeUSA Insurance Company300386Agent - Health12/13/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/13/19998/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/200712/29/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/200712/29/2010
InactiveMetropolitan Life Insurance Company301948Agent - Health11/8/199911/18/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life11/8/199911/18/2008
InactiveMidland National Life Insurance Company300923Agent - Health4/9/20012/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life4/9/20012/3/2003
InactiveMidwest Employers Casualty Company300124Agent - Casualty6/6/200611/1/2021
InactiveMidwest Employers Casualty Company300124Agent - General Lines2/3/19978/15/2000
DeniedMidwest Employers Casualty Company300124Agent - Property  
InactiveNational Guardian Life Insurance Company300596Agent - Health7/14/19943/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life7/14/19943/31/1999
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines7/1/19923/31/1996
InactivePan-American Life Insurance Company301530Agent - Health1/22/200210/8/2007
InactivePan-American Life Insurance Company301530Agent - Life1/22/200210/8/2007
InactivePaul Revere Life Insurance Company300971Agent - Health12/4/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life12/4/199912/11/2002
InactivePie Insurance Company (The)300514Agent - Casualty5/15/20019/8/2004
InactivePie Insurance Company (The)300514Agent - Property5/15/20019/8/2004
InactivePrincipal Life Insurance Company300129Agent - Health5/22/19973/31/2022
InactivePrincipal Life Insurance Company300129Agent - Life5/22/19973/31/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/8/200512/7/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/8/200512/7/2006
InactiveReassure America Life Insurance Company301902Agent - Health8/14/19981/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life8/14/19981/2/2003
InactiveReliance Insurance Company300785Agent - Casualty8/15/20006/5/2001
InactiveReliance Insurance Company300785Agent - General Lines4/18/19988/15/2000
InactiveReliance Insurance Company300785Agent - Property8/15/20006/5/2001
InactiveReliance National Indemnity Company301939Agent - General Lines4/18/19988/15/2000
InactiveReliance National Insurance Company301675Agent - General Lines4/18/19988/15/2000
InactiveReliance Standard Life Insurance Company300584Agent - Health5/22/19961/23/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life5/22/19961/23/2015
InactiveTexas Life Insurance Company300345Agent - Life12/8/20007/15/2005
InactiveTime Insurance Company300683Agent - Health1/16/200110/20/2004
InactiveTime Insurance Company300683Agent - Life1/16/200110/20/2004
InactiveTransamerica Life Insurance Company300571Agent - Health1/31/200010/8/2001
InactiveTransamerica Life Insurance Company300571Agent - Life1/31/200010/8/2001
InactiveTransamerica Premier Life Insurance Company300558Agent - Health12/19/20008/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health10/9/199711/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life10/9/199711/29/2005
InactiveUnion Security Insurance Company301844Agent - Health5/19/19953/1/2004
InactiveUnion Security Insurance Company301844Agent - Life5/19/19953/1/2004
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health3/1/200111/15/2017
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Prepaid Dental Plan11/13/19983/1/2001
InactiveUnited Concordia Dental Plans, Inc.919872Agent - Health11/15/20173/31/2022
InactiveUnited Concordia Insurance Company903543Agent - Health12/31/20173/31/2022
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health11/13/199812/31/2017
InactiveUnited Pacific Insurance Company300538Agent - General Lines4/18/19988/15/2000
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/31/199811/21/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/31/199811/21/2005
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/29/19962/21/2001
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/29/19962/21/2001
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/21/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization12/11/19983/1/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/199912/31/2001
InactiveAuslander, Louise Haynes 321510Agent - Health9/13/199711/22/2002
InactiveAuslander, Louise Haynes 321510Agent - Life9/13/199711/22/2002
ActiveBass, Karen Hope 591355Agent - Casualty6/7/2022 
DeniedBass, Karen Hope 591355Agent - Property  
InactiveBloodworth, John Richard 366736Agent - Health3/1/200111/22/2002
InactiveBloodworth, John Richard 366736Agent - Health Maintenance Organization12/11/19983/1/2001
InactiveDavis, Diane M 320444Agent - Health9/13/199711/4/1997
InactiveDavis, Diane M 320444Agent - Life9/13/199711/4/1997
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveHealthplan Services, Inc.401230Agent - Health8/31/199512/31/2001
InactiveHiggs, Kelli Jo 330815Agent - Health9/13/199710/23/1997
InactiveHiggs, Kelli Jo 330815Agent - Life9/13/199710/23/1997
InactiveJohnson, Lisa K 307983Agent - Casualty4/17/200312/29/2003
InactiveJohnson, Lisa K 307983Agent - Property4/17/200312/29/2003
InactiveJudy, Nancy S 325459Agent - Health8/26/19943/20/1998
InactiveJudy, Nancy S 325459Agent - Life8/26/19943/20/1998
InactiveLynch, Gene M 515211Agent - Health5/24/200211/22/2002
InactiveLynch, Gene M 515211Agent - Life5/24/200211/22/2002
InactiveMcCulloch, Mark L 372533Agent - Health1/18/200211/22/2002
InactiveMcCulloch, Mark L 372533Agent - Life1/18/200211/22/2002
ActiveNetherton, Sharon Elizabeth 589828Agent - Health6/9/2022 
ActiveNetherton, Sharon Elizabeth 589828Agent - Life6/9/2022 
InactiveOgden, Paul Justin 394461Agent - Health3/31/199610/23/1996
InactiveOgden, Paul Justin 394461Agent - Life3/31/199610/23/1996
InactivePritchett, Katherine Louise 340618Agent - Health1/31/199510/23/1996
InactivePritchett, Katherine Louise 340618Agent - Life1/31/199510/23/1996
InactiveReid, Howard M 366424Agent - Health1/22/19981/24/2000
InactiveReid, Howard M 366424Agent - Life1/22/19981/24/2000
InactiveRodgers, Debra 386354Agent - Health3/15/20019/12/2001
InactiveRodgers, Debra 386354Agent - Life3/15/20019/12/2001
InactiveRose, Kimberly M 388501Agent - Casualty8/15/200011/14/2001
InactiveRose, Kimberly M 388501Agent - Health3/15/200111/14/2001
InactiveRose, Kimberly M 388501Agent - Life3/15/200111/14/2001
InactiveRose, Kimberly M 388501Agent - Property8/15/200011/14/2001
InactiveSullivan, Stephen Douglas 517063Agent - Health1/25/20025/24/2002
InactiveSullivan, Stephen Douglas 517063Agent - Life1/18/20025/24/2002
InactiveThomas, Eartha B 351686Agent - Casualty10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Health10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Life10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Property10/23/200111/14/2001
InactiveWarner, Gerri L 316364Agent - Casualty8/15/20001/18/2005
InactiveWarner, Gerri L 316364Agent - Health3/19/20021/18/2005
InactiveWarner, Gerri L 316364Agent - Life3/19/20021/18/2005
InactiveWarner, Gerri L 316364Agent - Property8/15/20001/18/2005

© Commonwealth of Kentucky. All rights reserved.