DEPARTMENT OF INSURANCE
Affiliations
NameAnnuity Associates Inc.DOIID401283NAIC NPN7223012
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable8/27/20213/31/2023 
InactiveResidentAgentHealth7/8/20093/31/2021 
InactiveResidentAgentHealth Maintenance Organization3/18/19923/1/2001 
InactiveResidentAgentLife7/8/20093/31/2021 
InactiveResidentAgentNon-profit Health Service10/21/19993/1/2001 
InactiveResidentAgentPrepaid Dental Plan1/22/19983/1/2001 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/25/200211/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/25/200211/22/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/26/20094/8/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/26/20094/8/2021
InactiveAmerican General Assurance Company300586Agent - Health4/6/201112/31/2012
InactiveAmerican General Assurance Company300586Agent - Life4/6/201112/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/201211/29/2016
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201211/29/2016
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Health10/25/199912/31/2002
InactiveAmerican General Life Insurance Company of Pennsylvania301579Agent - Life10/25/199912/31/2002
InactiveAmerican Heritage Life Insurance Company300272Agent - Health5/21/20043/31/2009
InactiveAmerican Heritage Life Insurance Company300272Agent - Life5/21/20043/31/2009
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health5/18/20063/31/2009
InactiveAmerican National Life Insurance Company of Texas300912Agent - Life5/18/20063/31/2009
InactiveAmerican United Life Insurance Company300498Agent - Health6/7/20041/12/2007
InactiveAmerican United Life Insurance Company300498Agent - Life6/7/20041/12/2007
InactiveAnnuity Investors Life Insurance Company300715Agent - Life7/13/200912/15/2020
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/16/20083/31/2009
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/16/20083/31/2009
InactiveAnthem Life Insurance Company301209Agent - Health1/19/20003/31/2009
InactiveAnthem Life Insurance Company301209Agent - Life1/19/20003/31/2009
InactiveBanner Life Insurance Company301696Agent - Life5/13/20153/31/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/20159/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/20159/24/2018
InactiveCentre Life Insurance Company300341Agent - Health11/7/19973/31/1999
InactiveColonial Life and Accident Insurance Company300846Agent - Health10/7/19979/22/2004
InactiveColonial Life and Accident Insurance Company300846Agent - Life10/7/19979/22/2004
InactiveCombined Insurance Company of America301472Agent - Health2/18/19922/26/2001
InactiveCombined Insurance Company of America301472Agent - Life2/18/19922/26/2001
InactiveCompBenefits Dental, Inc.591692Agent - Health7/28/200912/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health7/28/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan3/14/19983/1/2001
InactiveConseco Health Insurance Company301725Agent - Health10/3/20065/20/2009
InactiveConseco Health Insurance Company301725Agent - Life10/3/20065/20/2009
InactiveConseco Insurance Company301202Agent - Health9/12/19943/31/2009
InactiveConseco Insurance Company301202Agent - Life9/12/19943/31/2009
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 Care Plus Inc.301495Agent - Health1/6/20143/31/2021
InactiveDental Concern Inc. (The)301641Agent - Health6/21/201012/13/2016
InactiveDentiCare, Inc.300655Agent - Health7/7/200311/1/2005
InactiveFidelity Security Life Insurance Company300466Agent - Health1/26/20113/31/2021
InactiveFidelity Security Life Insurance Company300466Agent - Life1/26/20113/31/2021
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Health7/7/19943/31/1997
InactiveFirst Allmerica Financial Life Insurance Company301853Agent - Life7/7/19943/31/1997
InactiveFirst Colony Life Insurance Company301179Agent - Life2/4/19921/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health1/7/201412/11/2018
InactiveGenworth Life Insurance Company300623Agent - Life1/7/201412/11/2018
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20073/31/2009
InactiveGolden Rule Insurance Company301943Agent - Health1/27/200611/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life1/27/200611/10/2008
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Health7/27/20093/31/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/10/20153/31/2021
InactiveGuardian Life Insurance Company of America301316Agent - Health4/10/20153/31/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life4/10/20153/31/2021
InactiveHartford Life and Accident Insurance Company300878Agent - Health2/8/20116/8/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life2/8/20116/8/2017
InactiveHealth Resources Inc.301210Agent - Health5/2/201112/17/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health3/31/201412/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health2/4/201112/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization3/18/199212/3/1997
InactiveHumana Insurance Company301104Agent - Health2/4/20113/31/2021
InactiveHumana Insurance Company301104Agent - Life2/4/20113/31/2021
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/16/201312/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health9/1/20112/24/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/1/20112/24/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health10/22/200412/28/2006
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/22/200412/28/2006
InactiveJackson National Life Insurance Company300486Agent - Health4/10/20001/6/2003
InactiveJackson National Life Insurance Company300486Agent - Life4/10/20001/6/2003
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health9/19/19955/5/1998
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life9/19/19955/5/1998
InactiveKanawha Insurance Company300127Agent - Health4/16/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life4/16/201312/5/2014
InactiveLafayette Life Insurance Company (The)301039Agent - Health7/9/20103/31/2021
InactiveLafayette Life Insurance Company (The)301039Agent - Life7/9/20103/31/2021
InactiveLincoln Benefit Life Company301110Agent - Health8/10/200912/18/2010
InactiveLincoln Benefit Life Company301110Agent - Life8/10/200912/18/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/8/201512/23/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/201512/23/2016
InactiveLoyal American Life Insurance Company301172Agent - Life7/13/20099/20/2010
InactiveMadison National Life Insurance Company Inc.301458Agent - Health1/20/20063/31/2009
InactiveMadison National Life Insurance Company Inc.301458Agent - Life1/20/20063/31/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life7/13/200912/17/2012
InactiveMidland Life Insurance Company (The)300310Agent - Health3/12/20023/12/2002
InactiveMidland Life Insurance Company (The)300310Agent - Life3/9/19983/12/2002
InactiveNationwide Life Insurance Company of America301134Agent - Health2/24/19943/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Life2/24/19943/31/2009
InactiveNew York Life Insurance Company300431Agent - Health8/29/20164/2/2019
InactiveNew York Life Insurance Company300431Agent - Life8/29/20164/2/2019
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health8/29/20164/2/2019
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life8/29/20164/2/2019
InactiveNorth American Company for Life and Health Insurance300291Agent - Health2/21/19953/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Life4/13/199910/18/2005
InactiveNorthern Life Insurance Company300301Agent - Health12/31/199110/2/2002
InactiveNorthern Life Insurance Company300301Agent - Life12/31/199110/2/2002
InactivePremier Dental Network Inc.300661Agent - Prepaid Dental Plan1/22/19982/2/2001
InactivePrincipal Life Insurance Company300129Agent - Health5/12/19983/31/2009
InactivePrincipal Life Insurance Company300129Agent - Life5/12/19983/31/2009
InactivePrincipal National Life Insurance Company301926Agent - Life7/12/20173/31/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/9/199610/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/9/199610/24/2003
InactivePrudential Health Care Plan Inc.301342Agent - Health3/1/20015/21/2003
InactivePrudential Health Care Plan Inc.301342Agent - Health Maintenance Organization5/18/19993/1/2001
InactivePrudential Insurance Company of America300784Agent - Health10/21/20093/31/2021
InactivePrudential Insurance Company of America300784Agent - Life10/21/20093/31/2021
InactiveReassure America Life Insurance Company301902Agent - Health8/31/19951/2/2003
InactiveReassure America Life Insurance Company300678Agent - Health3/12/20024/28/2003
InactiveReassure America Life Insurance Company301902Agent - Life8/31/19951/2/2003
InactiveReassure America Life Insurance Company300678Agent - Life3/12/20024/28/2003
InactiveReliaStar Life Insurance Company301712Agent - Health6/20/20163/31/2021
InactiveReliaStar Life Insurance Company301712Agent - Life6/20/20163/31/2021
InactiveReliaStar Life Insurance Company of New York301018Agent - Health8/15/20066/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life8/15/20066/25/2008
InactiveStandard Life Insurance Company of Indiana300116Agent - Health6/20/19943/31/1997
InactiveStandard Life Insurance Company of Indiana300116Agent - Life6/20/19943/31/1997
InactiveSun Life Assurance Company of Canada301811Agent - Health3/6/20193/31/2021
InactiveSun Life Assurance Company of Canada301811Agent - Life3/6/20193/31/2021
InactiveSymetra Life Insurance Company301691Agent - Health5/11/20173/31/2021
InactiveSymetra Life Insurance Company301691Agent - Life5/11/20173/31/2021
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/23/20126/20/2018
InactiveTime Insurance Company300683Agent - Health2/25/200012/22/2004
InactiveTime Insurance Company300683Agent - Life2/25/200012/22/2004
InactiveTransamerica Life Insurance Company300571Agent - Health11/17/201212/16/2019
InactiveTransamerica Life Insurance Company300571Agent - Life11/17/201212/16/2019
InactiveU.S. Financial Life Insurance Company301812Agent - Life2/9/20059/13/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health3/9/199912/2/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life3/9/199912/2/2005
InactiveUSG Annuity & Life Company300457Agent - Life4/11/199411/5/2002
InactiveUnion Security Insurance Company301844Agent - Health4/10/201411/23/2020
InactiveUnion Security Insurance Company301844Agent - Life4/10/201411/23/2020
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health4/9/20013/31/2009
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health7/1/19993/31/2009
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/21/200510/15/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/21/200510/15/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/7/201111/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/7/201111/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/7/201111/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/7/201111/30/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Health6/17/20165/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/17/20165/18/2018
InactiveWest Coast Life Insurance Company301607Agent - Health6/11/200312/8/2008
InactiveWest Coast Life Insurance Company301607Agent - Life6/11/200312/8/2008
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
InactiveAllen, Ed Lyndon 387222Agent - Health10/23/19986/21/2001
InactiveAllen, Ed Lyndon 387222Agent - Life10/23/19986/21/2001
InactiveGoldberg, David Ross 323062Administrator - Not Applicable8/27/20213/31/2023
InactiveGoldberg, David Ross 323062Agent - Health7/8/20093/31/2021
InactiveGoldberg, David Ross 323062Agent - Life7/8/20093/31/2021
InactiveGoldberg, Kay L 373337Agent - Health3/9/201112/13/2012
InactiveGoldberg, Kay L 373337Agent - Life3/9/201110/13/2012
InactiveHendricks, Susan K 335144Agent - Health3/9/20116/26/2019
InactiveHendricks, Susan K 335144Agent - Life3/9/20116/26/2019
InactiveSparks, Donald Wayne 366864Agent - Health10/23/19981/16/2002
InactiveSparks, Donald Wayne 366864Agent - Life10/23/19981/16/2002

© Commonwealth of Kentucky. All rights reserved.