DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Retail Federation Insurance Agency DBA : Association Advantage Insurance Group	DOIID	400706	NAIC NPN	7222616

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	10/9/2017		3/31/2025
Active	Resident	Agent	Life	12/7/2009		3/31/2025
Active	Resident	Agent	Health	12/7/2009		3/31/2025
Active	Resident	Agent	Property	10/9/2017		3/31/2025
Inactive	Resident	Agent	Health Maintenance Organization	8/7/1989	3/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	2/19/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/19/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/16/2011	9/30/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/16/2011	9/30/2013
Active	American United Life Insurance Company	300498	Agent - Health	4/28/2022
Active	American United Life Insurance Company	300498	Agent - Life	4/28/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/18/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/7/1989	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/18/2010	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	2/18/2010
Active	Anthem Life Insurance Company	301209	Agent - Life	2/18/2010
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/11/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/11/2016
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	7/5/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/14/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/14/2016
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/11/2017	6/1/2023
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/11/2017	6/1/2023
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/11/2017	6/1/2023
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/11/2017	6/1/2023
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/11/2017	6/1/2023
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/11/2017	6/1/2023
Inactive	Union Security Insurance Company	301844	Agent - Health	9/16/2004	3/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	9/16/2004	3/31/2009
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/19/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/19/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/19/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/15/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/15/1999	12/31/2001
Inactive	Barnes, William S	377265	Agent - Health	4/24/2003	3/31/2009
Inactive	Barnes, William S	377265	Agent - Life	4/24/2003	3/31/2009
Inactive	Gould, Jan Lee	362048	Agent - Health	6/2/2010	4/1/2011
Inactive	Gould, Jan Lee	362048	Agent - Life	6/2/2010	4/1/2011
Active	Griffin, Tod Allan	645304	Agent - Health	12/7/2009
Active	Griffin, Tod Allan	645304	Agent - Life	12/7/2009
Active	Grigsby, Cassie Dawn	714040	Agent - Casualty	10/9/2017
Active	Grigsby, Cassie Dawn	714040	Agent - Health	2/24/2010
Active	Grigsby, Cassie Dawn	714040	Agent - Life	2/24/2010
Active	Grigsby, Cassie Dawn	714040	Agent - Property	10/9/2017
Inactive	Hinkle, John Denman	375641	Agent - Health	7/26/1993	11/23/2008
Inactive	Hinkle, John Denman	375641	Agent - Life	7/26/1993	11/23/2008