DEPARTMENT OF INSURANCE
Affiliations
NameKentucky Hospital Service Company of Kentucky, LLC
DBA : KHA Solutions Group
DOIID401254NAIC NPN7146236
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable7/18/19891/1/2020 
ActiveResidentAgentHealth9/13/1988 3/31/2026
ActiveResidentAgentProperty8/15/2000 3/31/2026
ActiveResidentAgentCasualty8/15/2000 3/31/2026
ActiveResidentAgentLife9/13/1988 3/31/2026
InactiveResidentAgentGeneral Lines6/24/19888/15/2000 
InactiveResidentAgentPrepaid Dental Plan10/11/19893/1/2001 
InactiveResidentAgentNon-profit Health Service10/21/19993/1/2001 
InactiveResidentAgentHealth Maintenance Organization6/17/19993/1/2001 
* 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
Inactive5 Star Life Insurance Company300673Agent - Life4/1/200412/30/2014
ActiveACE American Insurance Company300625Agent - Health4/28/2015 
InactiveADENTA, Inc.301437Agent - Health3/1/20017/15/2002
InactiveADENTA, Inc.301437Agent - Prepaid Dental Plan9/16/19983/1/2001
ActiveARAG Insurance Company549389Agent - Casualty2/12/2021 
InactiveAetna Health Inc.300694Agent - Health12/21/200512/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/23/2010
InactiveAetna Life Insurance Company301140Agent - Health2/19/19999/23/2010
InactiveAetna Life Insurance Company301140Agent - Life2/19/19999/23/2010
ActiveAmerican Automobile Insurance Company300953Agent - Casualty4/30/2003 
ActiveAmerican Automobile Insurance Company300953Agent - Property4/30/2003 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines4/15/199612/31/1999
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/8/2015 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/8/2015 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health9/13/198812/27/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life9/13/198812/27/2012
ActiveAmerican Heritage Life Insurance Company300272Agent - Health12/21/2015 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life12/21/2015 
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Casualty8/15/20005/31/2003
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - General Lines6/25/19988/15/2000
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Property8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - Casualty8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - General Lines6/25/19988/15/2000
InactiveAmerican Motorists Insurance Company301212Agent - Property8/15/20005/31/2003
InactiveAmerican National Insurance Company301861Agent - Health5/30/200111/4/2022
InactiveAmerican National Insurance Company301861Agent - Life5/30/20016/2/2021
ActiveAmerican United Life Insurance Company300498Agent - Health11/26/1996 
ActiveAmerican United Life Insurance Company300498Agent - Life11/26/1996 
InactiveAmeritas Life Insurance Corporation300126Agent - Health4/7/199710/23/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/7/199710/23/2006
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/5/2002 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health2/5/200210/16/2012
ActiveAnthem Life Insurance Company301209Agent - Health11/2/1994 
ActiveAnthem Life Insurance Company301209Agent - Life11/2/1994 
InactiveAvemco Insurance Company300669Agent - Health6/28/200110/23/2002
InactiveBaltimore Life Insurance Company300286Agent - Health3/19/20022/20/2003
InactiveBaltimore Life Insurance Company300286Agent - Life3/19/20022/20/2003
InactiveBaptist Health Plan, Inc.300157Agent - Health10/12/20043/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health1/25/201311/9/2015
InactiveBerkshire Life Insurance Company of America300983Agent - Life1/25/201311/9/2015
InactiveCHA HMO, Inc.300662Agent - Health2/1/200212/10/2012
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/200012/9/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines1/22/19988/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/200012/9/2019
ActiveCitizens Security Life Insurance Company301257Agent - Health5/22/1992 
ActiveCitizens Security Life Insurance Company301257Agent - Life5/22/1992 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
ActiveColonial Life and Accident Insurance Company300846Agent - Health10/6/1993 
ActiveColonial Life and Accident Insurance Company300846Agent - Life10/6/1993 
ActiveCombined Insurance Company of America301472Agent - Health5/7/2014 
ActiveCombined Insurance Company of America301472Agent - Life5/7/2014 
InactiveCompBenefits Dental, Inc.591692Agent - Health12/14/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health9/17/20096/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life9/17/20096/26/2013
InactiveCompDent Corporation301387Agent - Health3/31/200312/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan10/11/19893/31/1997
ActiveCompanion Life Insurance Company300191Agent - Health7/8/2010 
ActiveCompanion Life Insurance Company300191Agent - Life7/8/2010 
ActiveContinental American Insurance Company301700Agent - Health4/30/2012 
ActiveContinental American Insurance Company301700Agent - Life4/30/2012 
InactiveContinental Casualty Company301019Agent - Casualty8/15/200012/27/2001
InactiveContinental Casualty Company301019Agent - General Lines4/15/19968/15/2000
InactiveContinental Casualty Company301019Agent - Property8/15/200012/27/2001
InactiveDearborn Life Insurance Company300401Agent - Health12/31/200412/28/2009
InactiveDearborn Life Insurance Company300401Agent - Life12/31/200412/28/2009
InactiveDelta Dental of Kentucky, Inc.301166Agent - Health3/1/20012/7/2007
InactiveDelta Dental of Kentucky, Inc.301166Agent - Non-profit Health Service10/21/19993/1/2001
InactiveDental Concern Inc. (The)301641Agent - Health11/20/201712/19/2019
InactiveDentiCare, Inc.300655Agent - Health10/21/200311/1/2005
InactiveFarmington Casualty Company301137Agent - Casualty10/21/200212/9/2009
InactiveFarmington Casualty Company301137Agent - Property10/21/200212/9/2009
ActiveFederal Insurance Company301144Agent - Casualty1/25/2007 
ActiveFederal Insurance Company301144Agent - Health1/25/2007 
ActiveFederal Insurance Company301144Agent - Property1/25/2007 
ActiveFidelity Security Life Insurance Company300466Agent - Health11/7/2005 
ActiveFidelity Security Life Insurance Company300466Agent - Life11/7/2005 
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty8/15/2000 
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines4/4/19908/15/2000
ActiveFidelity and Deposit Company of Maryland300976Agent - Property8/15/2000 
InactiveGeneral American Life Insurance Company300280Agent - Health5/9/19954/21/1999
InactiveGeneral American Life Insurance Company300280Agent - Life5/9/19954/21/1999
InactiveGuarantee Life Insurance Company301560Agent - Health10/1/19969/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life10/1/19969/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health11/24/199710/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life11/24/199710/5/2021
InactiveHCC Life Insurance Company301827Agent - Health6/25/200110/23/2002
InactiveHCC Life Insurance Company301827Agent - Life6/25/200110/23/2002
InactiveHM Life Insurance Company301408Agent - Health12/11/200910/24/2017
InactiveHM Life Insurance Company301408Agent - Life12/11/200910/24/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Health12/10/19996/13/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life12/10/19996/13/2017
InactiveHealth Resources Inc.301210Agent - Health3/1/200112/17/2018
InactiveHealth Resources Inc.301210Agent - Prepaid Dental Plan8/3/19983/1/2001
InactiveHealthcare Underwriters Group Insurance Company of Kentucky, Inc.582377Agent - Casualty2/7/20061/8/2015
InactiveHealthcare Underwriters Group, Inc,863144Agent - Casualty1/8/20153/8/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/22/20166/15/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/26/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health12/22/201612/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/17/19993/1/2001
InactiveHumana Insurance Company301104Agent - Health11/20/20174/7/2020
InactiveHumana Insurance Company301104Agent - Life11/20/20174/7/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/17/201812/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/17/201812/19/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health12/22/20166/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/5/20166/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health1/21/20042/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life1/21/20042/23/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health11/4/19984/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life11/4/19984/2/2007
InactiveKanawha Insurance Company300127Agent - Health7/7/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/7/201510/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/199810/29/2001
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/199810/29/2001
ActiveKentucky Hospital Insurance Company RRG573734Agent - Casualty9/10/2003 
InactiveKey Risk Insurance Company630687Agent - Casualty10/30/20091/4/2013
InactiveKey Risk Insurance Company630687Agent - Property10/30/20091/4/2013
ActiveLife Insurance Company of North America300711Agent - Health7/23/2010 
ActiveLife Insurance Company of North America300711Agent - Life7/23/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/2007 
InactiveLumbermens Mutual Casualty Company301119Agent - Casualty8/15/20005/31/2003
InactiveLumbermens Mutual Casualty Company301119Agent - General Lines2/6/19988/15/2000
InactiveLumbermens Mutual Casualty Company301119Agent - Property8/15/20005/31/2003
InactiveMHA Insurance Company620475Agent - Casualty12/2/200512/31/2017
InactiveMedical Life Insurance Company300693Agent - Health12/17/199612/31/2004
InactiveMedical Life Insurance Company300693Agent - Life12/17/199612/31/2004
InactiveMedical Protective Company (The)301207Agent - Casualty12/13/20013/1/2005
InactiveMedical Protective Company (The)301207Agent - Property12/13/20013/1/2005
InactiveMetropolitan Life Insurance Company301948Agent - Health5/26/200511/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life5/26/200511/26/2009
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines4/15/199612/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Health4/22/19943/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life4/22/19943/31/1999
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/15/2000 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines6/24/19888/15/2000
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health1/3/2002 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/15/2000 
ActiveObsidian Insurance Company301819Agent - Casualty11/14/2022 
ActiveObsidian Insurance Company301819Agent - Health11/14/2022 
ActiveObsidian Insurance Company301819Agent - Property11/14/2022 
ActiveProSelect Insurance Company826988Agent - Casualty12/31/2017 
InactiveProtective Life Insurance Company300638Agent - Health11/18/199712/13/2010
InactiveProtective Life Insurance Company300638Agent - Life11/18/199712/13/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/16/201710/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/16/201710/8/2021
ActiveReliance Standard Life Insurance Company300584Agent - Health12/3/1992 
ActiveReliance Standard Life Insurance Company300584Agent - Life12/3/1992 
ActiveSafety National Casualty Corporation300390Agent - Casualty9/13/2007 
InactiveSafety National Casualty Corporation300390Agent - General Lines7/7/19948/15/2000
ActiveSafety National Casualty Corporation300390Agent - Property9/13/2007 
InactiveSecurity Life Insurance Company of America300936Agent - Health3/30/19891/22/2003
InactiveSecurity Life Insurance Company of America300936Agent - Life3/30/19891/22/2003
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty10/1/2019 
ActiveSelective Insurance Company of the Southeast300381Agent - Property10/1/2019 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/11/200412/14/2016
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/11/200412/14/2016
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty10/11/200412/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Property10/11/200412/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty10/11/200412/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Property10/11/200412/9/2009
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/5/2016 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/5/2016 
InactiveStandard Insurance Company300185Agent - Health8/10/200012/5/2022
InactiveStandard Insurance Company300185Agent - Life8/10/200012/5/2022
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/4/19991/11/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life12/4/19991/11/2010
InactiveStarNet Insurance Company502746Agent - Casualty2/2/20121/4/2013
InactiveStarNet Insurance Company502746Agent - Property2/2/20121/4/2013
InactiveStarmount Life Insurance Company628031Agent - Health11/16/201710/8/2021
ActiveSun Life Assurance Company of Canada301811Agent - Health6/19/1990 
ActiveSun Life Assurance Company of Canada301811Agent - Life6/19/1990 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health8/4/200010/30/2009
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life8/4/200010/30/2009
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/200011/30/2017
InactiveThe Phoenix Insurance Company301502Agent - General Lines1/22/19988/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/200011/30/2017
InactiveTime Insurance Company300683Agent - Health6/4/19999/13/2007
InactiveTime Insurance Company300683Agent - Life6/4/19999/13/2007
InactiveTransamerica Assurance Company300893Agent - Health5/24/200410/1/2004
InactiveTransamerica Assurance Company300893Agent - Life5/24/200410/1/2004
ActiveTransamerica Life Insurance Company300571Agent - Health5/24/2004 
ActiveTransamerica Life Insurance Company300571Agent - Life5/24/2004 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/22/200310/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/22/200310/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health2/25/19993/8/2005
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/25/19993/8/2005
InactiveTranscontinental Insurance Company301731Agent - General Lines4/15/199612/31/1999
InactiveTransportation Insurance Company301575Agent - General Lines4/15/199612/31/1999
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty7/5/201611/30/2017
InactiveTravelers Casualty Insurance Company of America300522Agent - Property7/5/201611/30/2017
ActiveTravelers Casualty and Surety Company301067Agent - Casualty7/5/2016 
InactiveTravelers Casualty and Surety Company301067Agent - General Lines1/22/19988/15/2000
ActiveTravelers Casualty and Surety Company301067Agent - Property7/5/2016 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty10/21/2002 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property10/21/2002 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Casualty7/5/201612/20/2018
InactiveTravelers Indemnity Company (The)301855Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property7/5/201612/20/2018
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/15/200012/5/2013
ActiveTravelers Property Casualty Company of America301649Agent - Casualty8/15/2000 
InactiveTravelers Property Casualty Company of America301649Agent - General Lines1/22/19988/15/2000
ActiveTravelers Property Casualty Company of America301649Agent - Property8/15/2000 
ActiveTrustmark Insurance Company300317Agent - Health10/3/2015 
ActiveTrustmark Insurance Company300317Agent - Life10/3/2015 
InactiveUNUM Life Insurance Company of America300817Agent - Health11/16/201710/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life11/16/201710/8/2021
InactiveUnion Security Insurance Company301844Agent - Health2/7/20021/8/2015
InactiveUnion Security Insurance Company301844Agent - Life3/14/20021/8/2015
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/31/199712/21/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/31/199712/21/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/18/20121/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/18/20121/26/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/6/200411/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/6/200411/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/20/200011/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/12/200411/30/2016
InactiveValley Forge Insurance Company301052Agent - General Lines4/15/199612/31/1999
InactiveWestport Insurance Corporation301875Agent - Casualty8/15/200011/3/2008
InactiveWestport Insurance Corporation301875Agent - General Lines8/3/19928/15/2000
InactiveWestport Insurance Corporation301875Agent - Property8/15/200011/3/2008
InactiveWilcac Life Insurance Company301573Agent - Health12/20/199412/28/2005
InactiveWilcac Life Insurance Company301573Agent - Life12/20/199412/28/2005
Inactive301729Agent - Casualty8/15/20005/31/2003
Inactive301729Agent - General Lines6/25/19988/15/2000
Inactive301729Agent - Property8/15/20005/31/2003
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health7/1/199312/31/2001
InactiveAcordia of Louisville Inc.401252Agent - Life7/1/199312/31/2001
InactiveAndrews, Kimberly D 388009Agent - Health1/25/20134/17/2013
InactiveAndrews, Kimberly D 388009Agent - Life1/25/20134/17/2013
InactiveBoston, William Raymond 330826Administrator - Not Applicable2/17/19953/31/1997
InactiveBoston, William Raymond 330826Agent - General Lines1/19/19958/14/1996
InactiveBrewer, Janet Jo 371146Agent - Casualty2/19/20037/3/2003
InactiveBrewer, Janet Jo 371146Agent - Health5/9/20064/1/2009
InactiveBrewer, Janet Jo 371146Agent - Life5/9/20064/1/2009
InactiveBrewer, Janet Jo 371146Agent - Property2/19/20037/3/2003
InactiveBriley, Jeremy 791202Agent - Casualty10/15/201211/20/2013
DeniedBriley, Jeremy 791202Agent - Property  
InactiveChilders, Kathleen R 318036Administrator - Not Applicable4/18/20015/31/2005
InactiveChilders, Kathleen R 318036Agent - Casualty8/27/20011/21/2005
InactiveChilders, Kathleen R 318036Agent - Property8/27/20011/21/2005
InactiveConn, Brenda G 358638Administrator - Not Applicable9/4/19976/30/2008
ActiveConn, Brenda G 358638Agent - Casualty8/15/2000 
InactiveConn, Brenda G 358638Agent - General Lines5/8/19958/15/2000
ActiveConn, Brenda G 358638Agent - Property8/15/2000 
InactiveCoon, Evelyn R 380534Agent - Health5/8/19958/8/1996
InactiveCoon, Evelyn R 380534Agent - Life5/8/19958/8/1996
InactiveDumeyer, Matthew 834621Agent - Casualty5/26/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Health6/3/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Life6/3/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Property5/26/20161/15/2018
InactiveFrye, Jack A 313518Agent - General Lines1/19/199510/23/1996
InactiveFrye, Jack A 313518Agent - Health1/19/199510/23/1996
InactiveFrye, Jack A 313518Agent - Life1/19/199510/23/1996
InactiveGiese, Christopher Mark 328119Agent - Casualty1/29/20075/1/2011
InactiveGiese, Christopher Mark 328119Agent - Property1/29/20075/1/2011
InactiveHall, Karen Myers 366458Administrator - Not Applicable9/4/19973/31/2001
InactiveHampton-Peers, Robyn Sue 354120Administrator - Not Applicable4/18/20013/31/2006
ActiveHyman, Lisa Kay 520208Agent - Casualty10/18/2018 
ActiveHyman, Lisa Kay 520208Agent - Health11/3/2020 
ActiveHyman, Lisa Kay 520208Agent - Life11/3/2020 
ActiveHyman, Lisa Kay 520208Agent - Property11/30/2018 
InactiveKiser, Carla J 355816Administrator - Not Applicable9/4/19973/31/2001
InactiveLee, Judith A 302638Agent - Health8/22/20051/4/2013
InactiveLee, Judith A 302638Agent - Life8/22/20051/4/2013
InactiveLehman, Juanita Elaine 388026Agent - Health2/19/20037/16/2014
InactiveLehman, Juanita Elaine 388026Agent - Life2/19/20037/16/2014
InactiveMccreedy, Melissa Ann 370748Agent - Health5/7/20031/6/2004
InactiveMccreedy, Melissa Ann 370748Agent - Life5/7/20031/6/2004
DeniedMccreedy, Melissa Ann 370748Agent - Property  
InactiveMikel, Teresa D 545584Agent - Health4/17/20138/1/2017
InactiveMikel, Teresa D 545584Agent - Life4/17/20138/1/2017
InactiveMiles, Patricia 345746Administrator - Not Applicable4/18/19955/31/2010
InactiveMills, Jinna Lea 345060Administrator - Not Applicable9/4/19973/31/2001
InactiveMills, Jinna Lea 345060Agent - Health8/14/19962/19/2003
InactiveMills, Jinna Lea 345060Agent - Life8/14/19962/19/2003
InactivePhillips, Darlene S 533283Agent - Casualty6/10/200311/19/2020
InactivePhillips, Darlene S 533283Agent - Health1/6/200411/19/2020
InactivePhillips, Darlene S 533283Agent - Life1/6/200411/19/2020
InactivePhillips, Darlene S 533283Agent - Property6/10/200311/19/2020
InactivePrewitt, Lori M 354231Administrator - Not Applicable2/9/19933/31/1997
InactiveProffitt, Bobby Daryl 384599Agent - General Lines3/31/19948/15/2000
InactiveProffitt, Bobby Daryl 384599Agent - Health3/31/19947/1/2002
InactiveProffitt, Bobby Daryl 384599Agent - Life3/31/19947/1/2002
InactiveRay, Gloria A. 364351Administrator - Not Applicable9/4/19976/30/2003
InactiveRay, Gloria A. 364351Agent - Casualty8/27/20012/19/2003
InactiveRay, Gloria A. 364351Agent - Property8/27/20012/19/2003
InactiveSample, Mandy 898574Agent - Health1/25/20172/23/2018
InactiveSample, Mandy 898574Agent - Life1/25/20172/23/2018
InactiveSousan, Diane Whelan 363432Agent - Casualty1/6/200412/2/2004
InactiveSousan, Diane Whelan 363432Agent - Health1/6/20046/23/2005
InactiveSousan, Diane Whelan 363432Agent - Life1/6/20046/23/2005
InactiveSousan, Diane Whelan 363432Agent - Property1/6/200412/2/2004
InactiveStevenson, Patrick Joseph 360799Administrator - Not Applicable9/4/19973/31/2001
InactiveStevenson, Patrick Joseph 360799Agent - Casualty8/15/20002/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - General Lines10/23/19968/15/2000
InactiveStevenson, Patrick Joseph 360799Agent - Health10/23/19962/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - Life10/23/19962/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - Property8/15/20002/19/2003
InactiveTrent, B Darrell 362210Administrator - Not Applicable4/18/200110/31/2019
InactiveTrent, B Darrell 362210Agent - Casualty8/27/200110/30/2018
InactiveTrent, B Darrell 362210Agent - General Lines9/8/19958/14/1996
InactiveTrent, B Darrell 362210Agent - Health5/24/200610/30/2018
InactiveTrent, B Darrell 362210Agent - Life5/24/200610/30/2018
InactiveTrent, B Darrell 362210Agent - Property8/27/200110/30/2018
InactiveWhitehead, Marlice Dawn 503403Administrator - Not Applicable4/18/20019/30/2003
InactiveWhitehead, Marlice Dawn 503403Agent - Health8/27/20017/1/2002
InactiveWhitehead, Marlice Dawn 503403Agent - Life8/27/20017/1/2002
InactiveWilliams, Stephanie Ann 371242Administrator - Not Applicable9/4/19971/14/2004
InactiveWilliams, Stephanie Ann 371242Agent - Health5/8/19952/19/2003
InactiveWilliams, Stephanie Ann 371242Agent - Life5/8/19952/19/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life3/8/200012/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Health3/8/200012/31/2001

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