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DEPARTMENT OF INSURANCE
Affiliations
Name
Acordia of Western Kentucky Inc.
DOIID
401302
NAIC NPN
7223023
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Administrator
Not Applicable
5/4/1995
3/31/1997
Inactive
Resident
Agent
Property
8/15/2000
5/31/2003
Inactive
Resident
Agent
Health Maintenance Organization
7/26/1995
3/1/2001
Inactive
Resident
Agent
General Lines
2/24/1997
8/15/2000
Inactive
Resident
Agent
Health
7/26/1995
5/31/2003
Inactive
Resident
Agent
Prepaid Dental Plan
7/26/1995
1/1/1999
Inactive
Resident
Agent
Life
7/26/1995
5/31/2003
Inactive
Resident
Agent
Non-profit Health Service
7/26/1995
12/31/1998
Inactive
Resident
Agent
Casualty
8/15/2000
5/31/2003
* 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
Inactive
American United Life Insurance Company
300498
Agent - Health
11/6/1995
12/29/1998
Inactive
American United Life Insurance Company
300498
Agent - Life
11/6/1995
12/29/1998
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
5/31/2003
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
7/26/1995
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
7/26/1995
5/31/2003
Inactive
Anthem Life Insurance Company
301209
Agent - Life
7/26/1995
5/31/2003
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
5/1/1996
5/31/2003
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
5/1/1996
5/31/2003
Inactive
Delta Dental of Kentucky, Inc.
301166
Agent - Non-profit Health Service
7/26/1995
12/31/1998
Inactive
Dental Choice, Inc.
301702
Agent - Prepaid Dental Plan
7/26/1995
12/31/1998
Inactive
Fort Wayne Health & Casualty Insurance Company
301572
Agent - Health
3/19/1996
5/31/2003
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
9/12/1995
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
9/12/1995
9/8/2000
Inactive
Health Resources Inc.
301210
Agent - Prepaid Dental Plan
7/3/1996
1/1/1999
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
5/31/2003
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
5/31/2003
Inactive
Life Insurance Company of Georgia
300267
Agent - Health
7/24/1996
4/21/2000
Inactive
Life Insurance Company of Georgia
300267
Agent - Life
7/24/1996
4/21/2000
Inactive
Lincoln National Reassurance Company
301919
Agent - Health
2/23/1996
1/6/2003
Inactive
Lincoln National Reassurance Company
301919
Agent - Life
2/23/1996
1/6/2003
Inactive
Medical Life Insurance Company
300693
Agent - Health
7/26/1995
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
7/26/1995
12/31/2004
Inactive
Shelby Casualty Insurance Company
301806
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Shelby Casualty Insurance Company
301806
Agent - General Lines
2/24/1997
8/15/2000
Inactive
Shelby Casualty Insurance Company
301806
Agent - Property
8/15/2000
5/31/2003
Inactive
Swiss Re Life & Health America, Inc.
300722
Agent - Health
1/6/2003
5/31/2003
Inactive
Swiss Re Life & Health America, Inc.
300722
Agent - Life
1/6/2003
5/31/2003
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Ables, William Earl
348598
Agent - Health
8/28/1996
5/31/2003
Inactive
Ables, William Earl
348598
Agent - Life
8/28/1996
11/6/2002
Inactive
Adams, Earle Granville
304068
Administrator - Not Applicable
5/4/1995
3/31/1997
Denied
Andrews, John Patrick
378136
Agent - Health
Denied
Andrews, John Patrick
378136
Agent - Life
Inactive
Ashe, Brian Harold
318789
Agent - Health
8/11/1997
5/31/2003
Inactive
Ashe, Brian Harold
318789
Agent - Life
8/11/1997
5/31/2003
Inactive
Askins, Dorothy M
323315
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Bird, Claudia A
334750
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Bitters, Michael Edward
335262
Agent - Health
10/3/1996
2/22/1999
Inactive
Bitters, Michael Edward
335262
Agent - Life
10/3/1996
2/22/1999
Inactive
Brown, Diana
319317
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Brown, William Sterling
390255
Agent - Health
4/5/1996
5/31/2003
Inactive
Brown, William Sterling
390255
Agent - Life
4/5/1996
5/31/2003
Inactive
Calkins, Phillip David
365874
Agent - Health
3/20/1996
5/31/2003
Inactive
Calkins, Phillip David
365874
Agent - Life
3/20/1996
5/31/2003
Inactive
Campbell, Thomas William
352812
Agent - Health
10/9/1996
5/31/2003
Inactive
Campbell, Thomas William
352812
Agent - Life
10/9/1996
5/31/2003
Inactive
Cardwell, Everett Holeman
390889
Agent - Health
12/13/1996
5/31/2003
Inactive
Cardwell, Everett Holeman
390889
Agent - Life
12/13/1996
5/31/2003
Inactive
Cherry, Jerry Monroe
353302
Agent - Health
7/31/1996
5/31/2003
Inactive
Cherry, Jerry Monroe
353302
Agent - Life
7/31/1996
5/31/2003
Inactive
Coe, Phyllis A
346838
Agent - General Lines
9/24/1997
8/15/2000
Inactive
Conrey, Thomas Erwin
330272
Agent - Health
4/24/1996
5/31/2003
Inactive
Conrey, Thomas Erwin
330272
Agent - Life
4/24/1996
5/31/2003
Inactive
Daugherty, Roger Franklin
308764
Agent - Health
1/19/1996
5/31/2003
Inactive
Daugherty, Roger Franklin
308764
Agent - Life
1/19/1996
5/31/2003
Inactive
Davis, Dan A
343942
Administrator - Not Applicable
5/4/1995
5/1/1996
Inactive
Fones, Matthew Hudson
351992
Agent - Health
8/10/1995
5/31/2003
Inactive
Fones, Matthew Hudson
351992
Agent - Life
8/10/1995
5/31/2003
Inactive
Franey, Mary C
330755
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Freeman, Patrick B
308225
Agent - Health
1/17/1996
5/31/2003
Inactive
Freeman, Patrick B
308225
Agent - Life
1/17/1996
5/31/2003
Inactive
Gilbert, Beatrice Sue
310530
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Giordano, Alphonse Dominick
375861
Agent - Health
7/28/1997
5/5/2003
Inactive
Giordano, Alphonse Dominick
375861
Agent - Life
7/28/1997
7/28/1997
Inactive
Grace, Gary Gene
341356
Agent - Health
1/29/1996
5/31/2003
Inactive
Grace, Gary Gene
341356
Agent - Life
1/29/1996
5/31/2003
Inactive
Hall, Gayle Marshall
361765
Agent - Health
11/13/1995
5/31/2003
Inactive
Hall, Gayle Marshall
361765
Agent - Life
11/13/1995
5/31/2003
Inactive
Hatchett, Frank Rice
339587
Agent - Health
10/2/1996
5/31/2003
Inactive
Hatchett, Frank Rice
339587
Agent - Life
10/2/1996
5/31/2003
Inactive
Henschel, Timothy J
378118
Agent - Health
1/29/1996
7/1/1996
Inactive
Henschel, Timothy J
378118
Agent - Life
1/29/1996
7/1/1996
Inactive
Hinkle, Paul Douglas
348088
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hinkle, Paul Douglas
348088
Agent - General Lines
9/24/1997
8/15/2000
Inactive
Hinkle, Paul Douglas
348088
Agent - Property
8/15/2000
5/31/2003
Inactive
Howell, Terry Wayne
372080
Agent - Health
10/20/1995
4/1/2002
Inactive
Howell, Terry Wayne
372080
Agent - Life
10/20/1995
1/16/2002
Inactive
Hughes, Dorothy Diane
344414
Agent - Health
3/12/1996
5/31/2003
Inactive
Hughes, Dorothy Diane
344414
Agent - Life
3/12/1996
5/31/2003
Inactive
Johnson, Paul E
349847
Agent - Health
8/6/1996
5/31/2003
Inactive
Johnson, Paul E
349847
Agent - Life
8/6/1996
5/31/2003
Inactive
Kappell, Dwayne Howard
327545
Agent - Health
6/19/1996
5/31/2003
Inactive
Kappell, Dwayne Howard
327545
Agent - Life
6/19/1996
5/31/2003
Inactive
Kolb, Nancy R
319699
Administrator - Not Applicable
5/4/1995
3/31/1998
Inactive
Lakey, Donna
358159
Agent - Health
11/19/1996
5/31/2003
Inactive
Lakey, Donna
358159
Agent - Life
11/19/1996
5/31/2003
Inactive
Leonard, Mark
348479
Administrator - Not Applicable
6/11/1996
3/31/1997
Inactive
Lovan, Carroll Wayne
355932
Agent - Health
8/11/1997
3/11/1998
Inactive
Luellen, Terri L
377480
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Mason, James Edward
326013
Agent - Health
7/26/1995
5/31/2003
Inactive
Mason, James Edward
326013
Agent - Life
7/26/1995
5/31/2003
Inactive
McKee, Charles Brian
316599
Agent - Health
10/8/1996
5/31/2003
Inactive
McKee, Charles Brian
316599
Agent - Life
10/8/1996
5/31/2003
Inactive
Mills, C Maxwell
371194
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Montgomery, Charles Anthony
376201
Agent - Health
1/19/1996
5/31/2003
Inactive
Montgomery, Charles Anthony
376201
Agent - Life
1/19/1996
5/31/2003
Inactive
Moore, Richard Jameson
351211
Agent - Health
7/31/1996
5/1/2000
Inactive
Moore, Richard Jameson
351211
Agent - Life
7/31/1996
5/1/2000
Inactive
Nelson, Jimmie L
306567
Agent - Health
12/11/1995
5/31/2003
Inactive
Nelson, Jimmie L
306567
Agent - Life
12/11/1995
5/31/2003
Inactive
Pinkston, Mischelle D
308425
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Reil, Veronica L
336992
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Rogers, Phillip Lynn
334301
Agent - Health
6/4/1996
5/31/2003
Inactive
Rogers, Phillip Lynn
334301
Agent - Life
6/4/1996
5/31/2003
Inactive
Roussel, Steven R
382898
Agent - Health
12/5/1995
5/31/2003
Inactive
Roussel, Steven R
382898
Agent - Life
12/5/1995
5/31/2003
Inactive
Sloan, Terry Monroe
308336
Agent - Health
4/22/1996
5/31/2003
Inactive
Sloan, Terry Monroe
308336
Agent - Life
4/22/1996
5/31/2003
Inactive
Southern, Bret Thomas
388061
Agent - Health
3/11/1996
7/1/1998
Inactive
Southern, Bret Thomas
388061
Agent - Life
3/11/1996
7/1/1998
Inactive
Stirsman, Glenda Marlyn
371290
Agent - Health
8/28/1996
5/31/2003
Inactive
Stirsman, Glenda Marlyn
371290
Agent - Life
8/28/1996
5/31/2003
Inactive
Teeter, Harold Ray
309939
Agent - Health
10/2/1996
7/1/1998
Inactive
Teeter, Harold Ray
309939
Agent - Life
10/2/1996
7/1/1998
Inactive
Tracy, Joe Ed
371675
Agent - Health
2/15/1996
5/31/2003
Inactive
Tracy, Joe Ed
371675
Agent - Life
2/15/1996
5/31/2003
Inactive
Vasseur, Steve Ward
352970
Agent - Health
5/9/1996
5/31/2003
Inactive
Vasseur, Steve Ward
352970
Agent - Life
5/9/1996
5/31/2003
Inactive
Wallace, Larry
358664
Agent - Health
3/11/1996
12/1/2000
Inactive
Wallace, Larry
358664
Agent - Life
3/11/1996
12/1/2000
Inactive
Warren, David Matthew
385064
Agent - General Lines
2/24/1997
8/18/1997
Inactive
Whitmer, Bruce Tromly
387128
Agent - Health
1/19/1996
5/31/2003
Inactive
Whitmer, Bruce Tromly
387128
Agent - Life
1/19/1996
5/31/2003
Inactive
Whitsell, Steven Roger
370860
Agent - Health
11/26/1996
5/31/2003
Inactive
Whitsell, Steven Roger
370860
Agent - Life
11/26/1996
5/31/2003
Inactive
Yewell, Terri L
323301
Administrator - Not Applicable
5/4/1995
3/31/1997
Inactive
Young, Joseph R
307935
Agent - Health
7/31/1996
5/31/2003
Inactive
Young, Joseph R
307935
Agent - Life
7/31/1996
5/31/2003
Inactive
Ziegler-Brooks, Denise M
368596
Administrator - Not Applicable
5/18/1995
3/31/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
B.R.& W. Insurance Corp
399500
Agent - Health
8/30/1995
12/31/2001
Inactive
B.R.& W. Insurance Corp
399500
Agent - Life
8/30/1995
12/31/2001
Inactive
Bennett Insurance Service Inc.
399537
Agent - Health
6/20/1996
12/31/2001
Inactive
Bennett Insurance Service Inc.
399537
Agent - Life
6/20/1996
12/31/2001
Inactive
Billington Finance & Investment Co Inc.
399106
Agent - Health
9/8/1995
12/31/2001
Inactive
Billington Finance & Investment Co Inc.
399106
Agent - Life
9/8/1995
12/31/2001
Inactive
Custom Health Plans Inc.
401295
Agent - Health
2/6/1997
12/30/1998
Inactive
Custom Health Plans Inc.
401295
Agent - Life
2/6/1997
12/30/1998
Inactive
E M Ford & Co.
400313
Agent - Health
4/19/1998
12/31/2001
Inactive
E M Ford & Co.
400313
Agent - Life
4/19/1998
12/31/2001
Inactive
Gardner Insurance Agency, Inc.
398780
Agent - Health
12/13/1995
12/31/2001
Inactive
Gardner Insurance Agency, Inc.
398780
Agent - Life
12/13/1995
12/31/2001
Inactive
King Ins Services Inc
398432
Agent - Health
6/27/1996
12/31/2001
Inactive
King Ins Services Inc
398432
Agent - Life
6/27/1996
12/31/2001
Inactive
McConnell Insurance Agency Inc.
400140
Agent - Health
2/20/1996
12/31/2001
Inactive
McConnell Insurance Agency Inc.
400140
Agent - Life
2/20/1996
12/31/2001
Inactive
Rowland Insurance Agency Inc.
401077
Agent - Health
5/9/1996
9/30/1999
Inactive
Rowland Insurance Agency Inc.
401077
Agent - Life
5/9/1996
9/30/1999
Inactive
Tri-State Ins Agency Inc
400047
Agent - Health
7/18/1996
12/31/2001
Inactive
Tri-State Ins Agency Inc
400047
Agent - Life
7/18/1996
12/31/2001
Inactive
Woodall Agency Inc.
400958
Agent - Health
7/31/1996
12/31/2001
Inactive
Woodall Agency Inc.
400958
Agent - Life
7/31/1996
12/31/2001
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