DEPARTMENT OF INSURANCE
Affiliations
NamePremier Insurance Managers Inc.DOIID400412NAIC NPN7222391
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth8/10/1988 3/31/2026
ActiveResidentAgentLife8/10/1988 3/31/2026
InactiveResidentAgentHealth Maintenance Organization6/20/19883/1/2001 
* 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. (PA)660717Agent - Health3/9/20104/24/2017
InactiveAetna Life Insurance Company301140Agent - Health3/9/20104/24/2017
InactiveAetna Life Insurance Company301140Agent - Life3/9/20104/24/2017
ActiveAllianz Life Insurance Company of North America301791Agent - Health4/15/2003 
ActiveAllianz Life Insurance Company of North America301791Agent - Life4/15/2003 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life2/14/20124/16/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/31/2001 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/31/2001 
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/201211/29/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201211/29/2017
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health8/9/200612/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life8/9/200612/31/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health4/20/19953/31/1997
InactiveAmerican Heritage Life Insurance Company300272Agent - Life4/20/19953/31/1997
InactiveAmerican National Insurance Company301861Agent - Health5/24/19913/31/1997
InactiveAmerican National Insurance Company301861Agent - Life5/24/19913/31/1997
InactiveAmerican Retirement Life Insurance Company706303Agent - Health5/7/201412/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/7/201412/21/2018
InactiveAmerican States Life Insurance Company301884Agent - Health11/11/200212/6/2004
InactiveAmerican States Life Insurance Company301884Agent - Life11/11/200212/6/2004
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/12/20144/30/2016
InactiveAmeritas Life Insurance Corporation300126Agent - Health2/21/200011/26/2002
InactiveAmeritas Life Insurance Corporation300126Agent - Life2/21/200011/26/2002
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/2001 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization6/20/19883/1/2001
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health10/20/1999 
ActiveAnthem Life Insurance Company301209Agent - Life10/20/1999 
InactiveAssurity Life Insurance Company301099Agent - Health5/16/20071/27/2009
InactiveAssurity Life Insurance Company301099Agent - Life5/16/20071/27/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Life6/10/20108/13/2015
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life11/13/20095/8/2013
InactiveAugustar Life Assurance Corporation301113Agent - Health12/20/201712/29/2020
InactiveAugustar Life Assurance Corporation301113Agent - Life12/20/201712/29/2020
InactiveAugustar Life Insurance Company301816Agent - Health12/20/201712/29/2020
InactiveAugustar Life Insurance Company301816Agent - Life12/20/201712/29/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Health6/3/20025/14/2003
InactiveBankers Fidelity Life Insurance Company300193Agent - Life6/3/20025/14/2003
InactiveCHA HMO, Inc.300662Agent - Health2/1/200210/10/2014
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/17/2013 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life11/17/2013 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/21/2023
ActiveCareSource Kentucky Co.838179Agent - Health12/16/2020 
InactiveCentral States Health and Life Company of Omaha301874Agent - Health9/4/200111/22/2002
InactiveCentral States Health and Life Company of Omaha301874Agent - Life9/4/200111/22/2002
ActiveCigna National Health Insurance Company300235Agent - Health6/14/2022 
ActiveClear Spring Life and Annuity Company300919Agent - Life12/9/2015 
InactiveCombined Insurance Company of America301472Agent - Health4/1/20166/17/2021
InactiveCompBenefits Dental, Inc.591692Agent - Health12/28/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health6/27/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/27/20087/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health5/1/200012/16/2004
InactiveCompanion Life Insurance Company300191Agent - Life5/1/200012/16/2004
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health9/16/20106/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life9/16/20106/11/2014
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveDelaware Life Insurance Company301256Agent - Life1/26/2006 
InactiveDental Concern Inc. (The)301641Agent - Health11/7/200812/13/2022
InactiveEquiTrust Life Insurance Company502870Agent - Life7/27/20124/23/2022
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/8/2012 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health11/7/20114/24/2017
ActiveForethought Life Insurance Company301407Agent - Health12/13/2010 
ActiveForethought Life Insurance Company301407Agent - Life12/13/2010 
InactiveGenworth Life Insurance Company300623Agent - Health11/15/201210/30/2013
InactiveGenworth Life Insurance Company300623Agent - Life11/15/201210/30/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/13/20101/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/13/20101/7/2014
ActiveGerber Life Insurance Company300529Agent - Health9/2/2014 
ActiveGerber Life Insurance Company300529Agent - Life9/2/2014 
InactiveGolden Rule Insurance Company301943Agent - Health11/17/20053/27/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/17/20053/27/2008
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/20/202012/15/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/20/202012/15/2020
InactiveHumana Health Plan, Inc.300142Agent - Health3/9/202112/13/2022
ActiveHumana Insurance Company301104Agent - Health11/16/2023 
InactiveHumana Insurance Company301104Agent - Life6/7/200612/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/9/202112/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/9/202112/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health2/20/202012/15/2020
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/20/202012/15/2020
InactiveHumanaDental Insurance Company301457Agent - Health6/27/200812/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life6/27/200812/19/2012
ActiveIllinois Mutual Life Insurance Company301479Agent - Health11/29/2022 
ActiveIllinois Mutual Life Insurance Company301479Agent - Life11/29/2022 
InactiveIndependence American Insurance Company524747Agent - Health11/27/201812/18/2020
InactiveInter-State Assurance Company301556Agent - Life12/11/20004/4/2002
InactiveKanawha Insurance Company300127Agent - Health6/27/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life6/27/20088/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life8/24/201111/10/2014
InactiveMedico Corp Life Insurance Company301777Agent - Health4/29/201412/26/2014
InactiveMedico Insurance Company301559Agent - Health4/29/201412/26/2014
InactiveMedico Insurance Company301559Agent - Life4/29/201412/26/2014
InactiveMutual of Omaha Insurance Company301012Agent - Health10/28/200912/26/2012
InactiveNational Western Life Insurance Company301515Agent - Life8/12/201312/10/2019
InactiveNorth American Company for Life and Health Insurance300291Agent - Health7/27/20104/3/2021
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/27/2010 
InactiveOxford Life Insurance Company301079Agent - Health1/23/201312/13/2023
InactiveOxford Life Insurance Company301079Agent - Life1/23/201312/13/2023
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/1/200811/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life10/1/20087/17/2012
InactivePioneer Life Insurance Company300110Agent - Health6/14/19997/1/2003
InactivePioneer Life Insurance Company300110Agent - Life6/14/19997/1/2003
ActiveReliaStar Life Insurance Company301712Agent - Health3/5/2001 
ActiveReliaStar Life Insurance Company301712Agent - Life3/5/2001 
InactiveReliaStar Life Insurance Company of New York301018Agent - Health3/5/20016/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life3/5/20016/25/2008
InactiveReliance Standard Life Insurance Company300584Agent - Health5/20/20081/23/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life5/20/20081/23/2015
InactiveReserve National Insurance Company301073Agent - Health6/5/201310/1/2015
InactiveReserve National Insurance Company301073Agent - Life6/5/201310/1/2015
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health2/25/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life2/25/200010/1/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health3/22/199512/31/1998
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life3/22/199512/31/1998
ActiveSentinel Security Life Insurance Company935789Agent - Health5/30/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life5/30/2022 
ActiveStandard Insurance Company300185Agent - Health3/4/2024 
ActiveStandard Insurance Company300185Agent - Life3/4/2024 
InactiveStandard Life and Accident Insurance Company301534Agent - Health1/10/20019/7/2011
InactiveStandard Life and Accident Insurance Company301534Agent - Life1/10/20019/7/2011
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/22/20021/11/2010
InactiveSymetra Life Insurance Company301691Agent - Health11/11/20024/17/2009
InactiveSymetra Life Insurance Company301691Agent - Life11/11/20024/17/2009
InactiveTime Insurance Company300683Agent - Health8/10/19883/1/2001
InactiveTime Insurance Company300683Agent - Life8/10/19883/1/2001
InactiveTransamerica Life Insurance Company300571Agent - Health12/1/19978/30/1999
InactiveTransamerica Life Insurance Company300571Agent - Life12/1/19978/30/1999
InactiveUnited World Life Insurance Company300532Agent - Health10/28/200912/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/28/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/28/200912/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/1/20082/21/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Life10/1/2008 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/1/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20152/21/2023
InactiveWashington National Insurance Company300587Agent - Health7/1/20033/8/2005
InactiveWashington National Insurance Company300587Agent - Life7/1/20033/8/2005
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/30/20198/29/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/30/201912/29/2021
InactiveWilco Life Insurance Company300122Agent - Health4/15/19914/2/2001
InactiveWilco Life Insurance Company300122Agent - Life4/15/19914/2/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAdams, Fred Michael 340891Agent - Health  
DeniedAdams, Fred Michael 340891Agent - Life  
InactiveAllen, Patricia W 718325Agent - Health2/21/20147/8/2024
InactiveAllen, Patricia W 718325Agent - Life2/21/20147/8/2024
InactiveAshley, Eric E 588450Agent - Health10/18/20044/30/2006
InactiveAshley, Eric E 588450Agent - Life10/18/20044/30/2006
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
ActiveGoodson, Deborah Gail 340915Agent - Health2/25/1988 
ActiveGoodson, Deborah Gail 340915Agent - Life2/25/1988 
InactiveHunter, Paul Berton 372899Agent - Health5/5/20115/1/2018
InactiveHunter, Paul Berton 372899Agent - Life5/5/20115/1/2018
PendingPruitt, Audrie Shayne 1260509Agent - Health  
InactiveRice, April 984718Agent - Health7/9/20183/31/2021
InactiveRice, April 984718Agent - Life7/9/20183/31/2021
ActiveSlone, Stephen Andrew 828204Agent - Health2/20/2014 
ActiveSlone, Stephen Andrew 828204Agent - Life2/20/2014 
ActiveTerry, Bill V 389884Agent - Health1/12/2004 
ActiveTerry, Bill V 389884Agent - Life1/12/2004 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsurance One Inc.399840Agent - Life10/21/19913/31/1998
InactiveInsurance One Inc.399840Agent - Health10/21/19913/31/1998

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