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	Health	12/7/2009		3/31/2027
Active	Resident	Agent	Casualty	10/9/2017		3/31/2027
Active	Resident	Agent	Life	12/7/2009		3/31/2027
Active	Resident	Agent	Property	10/9/2017		3/31/2027
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	10/17/2024	10/17/2024	Yes

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 Fire Insurance Company	300628	Agent - Casualty	3/5/2025
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/5/2025
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