PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameInsuramax Inc.DOIID401267NAIC NPN3318929
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable12/6/19912/6/2003 
InactiveResidentAgentLife8/23/19932/6/2003 
InactiveResidentAgentHealth Maintenance Organization6/20/19883/1/2001 
InactiveResidentAgentHealth5/31/20012/6/2003 
InactiveResidentAgentPrepaid Dental Plan2/1/199112/28/1998 
* 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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20012/6/2003
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization6/20/19883/1/2001
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/9/19933/31/1997
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/9/19933/31/1997
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20012/6/2003
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20012/6/2003
InactiveCitizens Security Life Insurance Company301257Agent - Health12/21/19873/31/1997
InactiveCitizens Security Life Insurance Company301257Agent - Life12/21/19873/31/1997
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan2/1/199112/28/1998
InactiveCompanion Life Insurance Company300191Agent - Health3/19/199312/17/1998
InactiveCompanion Life Insurance Company300191Agent - Life3/19/199312/17/1998
InactiveEmpower Annuity Insurance Company of America300259Agent - Health12/21/19932/6/2003
InactiveEmpower Annuity Insurance Company of America300259Agent - Life12/21/19932/6/2003
InactiveGeneral American Life Insurance Company300280Agent - Health11/12/19872/27/1997
InactiveGeneral American Life Insurance Company300280Agent - Life11/12/19872/27/1997
InactiveGuardian Life Insurance Company of America301316Agent - Health8/23/19932/6/2003
InactiveGuardian Life Insurance Company of America301316Agent - Life8/23/19932/6/2003
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization5/7/199111/5/1997
InactiveJohn Alden Life Insurance Company300573Agent - Health1/4/19903/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life1/4/19903/31/1997
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health8/23/19932/6/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life8/23/19932/6/2003
InactiveMedical Life Insurance Company300693Agent - Health4/13/199512/31/2004
InactiveMedical Life Insurance Company300693Agent - Life4/13/199512/31/2004
InactiveNassau Life Insurance Company301406Agent - Health12/14/19883/31/1997
InactiveNassau Life Insurance Company301406Agent - Life12/14/19883/31/1997
InactivePrincipal Life Insurance Company300129Agent - Health5/22/19912/6/2003
InactivePrincipal Life Insurance Company300129Agent - Life5/22/19912/6/2003
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health9/22/19923/31/1997
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life9/22/19923/31/1997
InactiveUNUM Life Insurance Company of America300817Agent - Health2/9/19903/31/1997
InactiveUNUM Life Insurance Company of America300817Agent - Life2/9/19903/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/13/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/13/19933/31/1997
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/2/199212/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/2/199212/31/2001
InactiveBrewer, Janet Jo 371146Administrator - Not Applicable5/6/19973/31/1999
InactiveCampbell, John Craig 355442Agent - Health1/12/19942/6/2003
InactiveCampbell, John Craig 355442Agent - Life1/12/19942/6/2003
InactiveHennessey, Alan Wayne 313289Agent - Health9/25/19872/6/2003
InactiveHennessey, Alan Wayne 313289Agent - Life9/25/19872/6/2003
InactiveLehman, Juanita Elaine 388026Administrator - Not Applicable6/11/19983/31/2001
InactiveSmith, Brent Larry 339767Agent - Health9/25/19872/6/2003
InactiveSmith, Brent Larry 339767Agent - Life9/25/19872/6/2003
InactiveSmith, Marvin 366231Administrator - Not Applicable12/6/19914/4/2007
InactiveSmith, Marvin 366231Agent - Health9/25/19872/6/2003
InactiveSmith, Marvin 366231Agent - Life9/25/19872/6/2003
InactiveWillett, Cosmas Majella 393572Agent - Health9/25/19878/25/1997
InactiveWillett, Cosmas Majella 393572Agent - Life9/25/19878/25/1997
InactiveZinser, Kurt Anthony 344568Agent - Health5/1/19922/6/2003
InactiveZinser, Kurt Anthony 344568Agent - Life5/1/19922/6/2003
InactiveZinser, Martin Christopher 344092Agent - Health9/25/19872/6/2003
InactiveZinser, Martin Christopher 344092Agent - Life9/25/19872/6/2003

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