PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDiversified Health Services of KY Inc.DOIID400660NAIC NPN138674
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization12/30/19853/1/2001 
InactiveResidentAgentHealth11/14/19852/2/2018 
InactiveResidentAgentLife11/14/19852/2/2018 
* 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
InactiveAF&L Insurance Company301582Agent - Health8/19/199711/1/2006
InactiveAbility Insurance Company301013Agent - Health7/30/19981/2/2002
InactiveAbility Insurance Company301013Agent - Life7/30/19981/2/2002
InactiveAllied Life Insurance Company301294Agent - Health1/22/19981/1/2000
InactiveAllied Life Insurance Company301294Agent - Life1/22/19981/1/2000
InactiveClover Insurance Company301587Agent - Life7/11/199612/31/1998
InactiveConseco Insurance Company301202Agent - Life11/18/199811/29/2004
InactiveContinental General Insurance Company300691Agent - Health11/13/200112/6/2006
InactiveContinental General Insurance Company300691Agent - Life11/13/200112/6/2006
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/12/19963/31/1997
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/12/19963/31/1997
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health4/10/199611/8/1999
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/10/199611/8/1999
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/17/2010
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization12/30/19853/1/2001
InactiveLafayette Life Insurance Company (The)301039Agent - Health3/14/199812/1/1999
InactiveLafayette Life Insurance Company (The)301039Agent - Life3/14/199812/1/1999
InactiveMedAmerica Insurance Company301568Agent - Health11/13/200212/26/2002
InactiveMedico Insurance Company301559Agent - Health7/30/19981/2/2002
InactiveMidland National Life Insurance Company300923Agent - Life1/7/200210/5/2004
InactiveNational States Insurance Company300579Agent - Health11/14/198511/30/2010
InactiveNational States Insurance Company300579Agent - Life11/14/198511/30/2010
InactiveNational Western Life Insurance Company301515Agent - Health8/26/19947/12/1996
InactiveNational Western Life Insurance Company301515Agent - Life8/26/19947/12/1996
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Health1/24/19975/28/1999
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Life1/24/19975/28/1999
InactiveOxford Life Insurance Company301079Agent - Health1/2/200212/22/2008
InactiveOxford Life Insurance Company301079Agent - Life1/2/200212/22/2008
InactivePenn Treaty Network America Insurance Company301297Agent - Health3/8/19956/22/2005
InactivePenn Treaty Network America Insurance Company301297Agent - Life3/8/19956/22/2005
InactiveReassure America Life Insurance Company300678Agent - Health1/1/20009/30/2007
InactiveReassure America Life Insurance Company301902Agent - Health9/30/200711/23/2011
InactiveReassure America Life Insurance Company300678Agent - Life1/1/20001/31/2007
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health7/8/199911/19/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life7/8/199911/19/2003
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health9/20/199112/28/1998
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life9/20/199112/28/1998
InactiveUNUM Life Insurance Company of America300817Agent - Health8/19/19923/31/1997
InactiveUNUM Life Insurance Company of America300817Agent - Life8/19/19923/31/1997
InactiveWilco Life Insurance Company300122Agent - Life11/11/19987/24/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health7/21/199312/31/2001
InactiveAcordia of Louisville Inc.401252Agent - Life7/21/199312/31/2001
InactiveAnderson, Philip James 533107Agent - Health3/6/20031/8/2004
InactiveAnderson, Philip James 533107Agent - Life3/6/20031/8/2004
InactiveBaldwin, Stephen Schoen 304762Agent - Health2/24/199712/1/2000
InactiveBaldwin, Stephen Schoen 304762Agent - Life2/24/199712/1/2000
InactiveClemons, Dale Eugene 380447Agent - Health12/29/19973/6/2003
InactiveClemons, Dale Eugene 380447Agent - Life12/29/19973/6/2003
InactiveEdwards, William C 563783Agent - Health3/6/20031/8/2004
InactiveEdwards, William C 563783Agent - Life3/6/20031/8/2004
InactiveEstes, Mark Allen 331918Agent - Health2/24/19971/8/2004
InactiveEstes, Mark Allen 331918Agent - Life2/24/19971/8/2004
InactiveFischler, Robert Michael 360152Agent - Health11/14/198510/31/2011
InactiveFischler, Robert Michael 360152Agent - Life11/14/198510/31/2011
InactiveJordan, Ken W 309453Agent - Health3/6/20031/8/2004
InactiveJordan, Ken W 309453Agent - Life3/6/20031/8/2004
InactiveKalina, Ian Scott 339306Agent - Health1/9/20122/2/2018
InactiveKalina, Ian Scott 339306Agent - Life1/9/20122/2/2018
InactiveMcBride, John Francis 392296Agent - Health2/24/19971/8/2004
InactiveMcBride, John Francis 392296Agent - Life2/24/19971/8/2004
InactiveMcNear, John Stephen 377482Agent - Health12/3/19981/8/2004
InactiveMcNear, John Stephen 377482Agent - Life12/3/19981/8/2004
InactiveMcNear, Nora Katherine 336913Agent - Health3/6/20031/8/2004
InactiveMcNear, Nora Katherine 336913Agent - Life3/6/20031/8/2004
InactivePerez, Michael R. 353106Agent - Health2/24/19973/6/2003
InactivePerez, Michael R. 353106Agent - Life2/24/19973/6/2003
InactivePurcell, Del 323351Agent - Health2/24/19977/1/1998
InactivePurcell, Del 323351Agent - Life2/24/19977/1/1998
InactiveRice, Daniel J 376586Agent - Health2/24/19977/1/2002
InactiveRice, Daniel J 376586Agent - Life2/24/19977/1/2002
InactiveSwisher, Mark Keith 340032Agent - Health4/27/19988/10/1998
InactiveSwisher, Mark Keith 340032Agent - Life4/27/19988/10/1998

© Commonwealth of Kentucky. All rights reserved.