PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameNational Independent Brokers, LLCDOIID502029NAIC NPN654476
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/14/2000 3/31/2026
ActiveNon ResidentAgentLife2/14/2000 3/31/2026
* 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
InactiveAF&L Insurance Company301582Agent - Health2/11/200211/1/2006
InactiveAbility Insurance Company301013Agent - Health6/12/200011/15/2006
InactiveAbility Insurance Company301013Agent - Life6/12/200011/15/2006
ActiveAetna Health Inc. (PA)660717Agent - Health9/18/2014 
ActiveAetna Health Insurance Company301583Agent - Health9/3/2014 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/3/2014 
ActiveAetna Life Insurance Company301140Agent - Life9/3/2014 
InactiveAmerican Continental Insurance Company643130Agent - Health6/16/200811/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life6/16/200812/6/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/28/20078/28/2014
ActiveAmerican National Insurance Company301861Agent - Life6/18/2024 
InactiveAnnuity Investors Life Insurance Company300715Agent - Health2/22/20019/16/2011
InactiveAnnuity Investors Life Insurance Company300715Agent - Life2/22/20019/16/2011
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/26/2007 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health11/26/2007 
ActiveAnthem Life Insurance Company301209Agent - Life11/26/2007 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveBankers United Life Assurance Company300296Agent - Health2/14/200012/31/2001
InactiveBankers United Life Assurance Company300296Agent - Life2/14/200012/31/2001
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/8/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life4/8/20192/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/20103/14/2019
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health11/26/20016/26/2006
InactiveConseco Health Insurance Company301725Agent - Life11/26/20016/26/2006
InactiveConseco Insurance Company301202Agent - Health11/30/20046/29/2006
InactiveConseco Insurance Company301202Agent - Life11/30/20046/29/2006
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/16/200811/10/2014
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/16/20085/20/2016
ActiveDental Concern Inc. (The)301641Agent - Health3/21/2009 
InactiveEverly Life Insurance Company561641Agent - Life2/13/20156/7/2016
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/20/2020 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/16/2010 
InactiveGreat Western Insurance Company501693Agent - Life5/15/20205/17/2021
ActiveGuarantee Trust Life Insurance Company301043Agent - Health8/30/2011 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life8/30/2011 
ActiveGuaranty Income Life Insurance Company552451Agent - Health8/25/2017 
ActiveGuaranty Income Life Insurance Company552451Agent - Life8/25/2017 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/22/2015 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health3/13/2019 
ActiveHumana Health Plan, Inc.300142Agent - Health5/10/2006 
ActiveHumana Insurance Company301104Agent - Health5/10/2006 
ActiveHumana Insurance Company301104Agent - Life5/10/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Health5/10/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Life5/10/2006 
ActiveHumana Medical Plan, Inc.801568Agent - Health8/15/2015 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/18/2017 
InactiveHumanaDental Insurance Company301457Agent - Health9/2/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/2/20092/23/2012
InactiveKanawha Insurance Company300127Agent - Health9/2/200910/22/2015
InactiveKanawha Insurance Company300127Agent - Life9/2/200910/22/2015
InactiveLife Investors Insurance Company of America301793Agent - Health12/31/20016/30/2005
InactiveLife Investors Insurance Company of America301793Agent - Life12/31/20016/30/2005
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health2/22/20013/14/2016
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life2/22/2001 
InactiveMedAmerica Insurance Company301568Agent - Health11/21/20038/1/2014
ActiveMedico Insurance Company301559Agent - Health11/15/2024 
ActiveMedico Insurance Company301559Agent - Life11/15/2024 
InactiveMetropolitan Life Insurance Company301948Agent - Health7/20/200411/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life7/20/200411/26/2009
ActiveMutual of Omaha Insurance Company301012Agent - Health8/12/2002 
InactiveNassau Life Insurance Company of Kansas300667Agent - Health12/4/201212/13/2012
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health10/26/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life10/26/2023 
InactivePan-American Assurance Company301533Agent - Health12/10/20036/24/2009
InactivePan-American Assurance Company301533Agent - Life12/10/20036/24/2009
InactivePan-American Life Insurance Company301530Agent - Health12/10/20036/24/2009
InactivePan-American Life Insurance Company301530Agent - Life12/10/20036/24/2009
InactivePenn Treaty Network America Insurance Company301297Agent - Health6/12/200011/27/2008
InactivePenn Treaty Network America Insurance Company301297Agent - Life6/12/200011/27/2008
InactivePhysicians Life Insurance Company300924Agent - Health8/6/20045/9/2007
InactivePhysicians Life Insurance Company300924Agent - Life8/6/20045/9/2007
InactivePhysicians Mutual Insurance Company301084Agent - Health8/6/20045/9/2007
InactivePruco Life Insurance Company300954Agent - Health12/18/200612/23/2014
InactivePruco Life Insurance Company300954Agent - Life12/18/200612/23/2014
InactivePrudential Insurance Company of America300784Agent - Health1/3/200712/23/2014
InactivePrudential Insurance Company of America300784Agent - Life1/3/200712/23/2014
ActiveReserve National Insurance Company301073Agent - Health4/16/2019 
ActiveReserve National Insurance Company301073Agent - Life4/16/2019 
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health5/8/20007/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life5/8/20007/18/2003
ActiveSilverScript Insurance Company663526Agent - Health10/20/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health11/27/20006/25/2018
InactiveStandard Life and Accident Insurance Company301534Agent - Life11/27/20006/25/2018
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTime Insurance Company300683Agent - Health8/6/200112/4/2012
InactiveTime Insurance Company300683Agent - Life8/6/200112/4/2012
InactiveTrustmark Insurance Company300317Agent - Health6/12/20005/19/2003
InactiveTrustmark Insurance Company300317Agent - Life6/12/20005/19/2003
ActiveUnited of Omaha Life Insurance Company300156Agent - Life9/27/2002 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/18/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
InactiveWellpoint Life and Health Insurance Company300469Agent - Health12/27/200610/15/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life12/27/200610/15/2010
InactiveWest Coast Life Insurance Company301607Agent - Health2/4/200312/8/2008
InactiveWest Coast Life Insurance Company301607Agent - Life2/4/200312/8/2008
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAnderson, Leonard Gary 367880Agent - Health2/14/2000 
ActiveAnderson, Leonard Gary 367880Agent - Life2/14/2000 
InactiveAnderson-Simonson, Julie 974702Agent - Health11/14/20172/28/2022
InactiveAnderson-Simonson, Julie 974702Agent - Life11/14/20172/28/2022
InactiveBarlow, Charles Taylor 370333Agent - Health3/4/20022/20/2003
InactiveBarlow, Charles Taylor 370333Agent - Life3/4/20022/20/2003
ActiveBergstrom, Susan Reiter 1135631Agent - Health6/16/2021 
ActiveBergstrom, Susan Reiter 1135631Agent - Life6/16/2021 
InactiveBrock, Kimberly 1182467Agent - Health2/7/20226/30/2022
InactiveBuck, Lisa Marie 513164Agent - Health12/1/20003/9/2001
InactiveBuck, Lisa Marie 513164Agent - Life12/1/20003/9/2001
ActiveCasey, Timothy W 681348Agent - Health11/3/2016 
ActiveCasey, Timothy W 681348Agent - Life11/3/2016 
ActiveCastro, Michael A 1387190Agent - Health3/12/2025 
ActiveCastro, Michael A 1387190Agent - Life3/12/2025 
ActiveChatman, Terrica Renee 1153371Agent - Health2/4/2025 
ActiveChatman, Terrica Renee 1153371Agent - Life2/10/2025 
InactiveCiliberti, Patricia Elaine 1119961Agent - Health5/10/20212/14/2022
InactiveCiliberti, Patricia Elaine 1119961Agent - Life5/18/20212/14/2022
ActiveClark, Jeffrey A 993623Agent - Health5/30/2018 
ActiveClark, Jeffrey A 993623Agent - Life5/30/2018 
InactiveCogoni, Steven Michael 846280Agent - Health11/11/20198/14/2020
InactiveCogoni, Steven Michael 846280Agent - Life11/18/20198/14/2020
InactiveConwell, Dennis W 518455Agent - Health11/3/20162/29/2020
InactiveConwell, Dennis W 518455Agent - Life11/3/20162/29/2020
ActiveCooper, Jonathan Travis 1345751Agent - Health6/20/2024 
ActiveCooper, Jonathan Travis 1345751Agent - Life6/19/2024 
InactiveCostellow, Wayburn Allen 347664Agent - Health2/14/200011/2/2016
InactiveCostellow, Wayburn Allen 347664Agent - Life2/14/200011/2/2016
InactiveDeleo, Kenneth E 777069Agent - Health11/16/20208/18/2023
InactiveDeleo, Kenneth E 777069Agent - Life11/17/20208/18/2023
InactiveDolce, Steven 792162Agent - Health10/2/201811/1/2018
InactiveDolce, Steven 792162Agent - Life10/2/201811/1/2018
ActiveFelten, Jennifer B 1136737Agent - Health11/10/2022 
ActiveFelten, Jennifer B 1136737Agent - Life11/10/2022 
InactiveFjelstad, Jessica Ann 979792Agent - Health8/29/20181/31/2024
InactiveFjelstad, Jessica Ann 979792Agent - Life8/29/20181/31/2024
InactiveFranklin, Patricia Ann 358167Agent - Health11/21/200811/2/2016
InactiveFranklin, Patricia Ann 358167Agent - Life11/21/200811/2/2016
InactiveFredrich, Jay Allan 985037Agent - Health10/30/20193/10/2021
InactiveFredrich, Jay Allan 985037Agent - Life10/30/20193/10/2021
ActiveGarrity, Robert K 1054074Agent - Health11/8/2019 
ActiveGarrity, Robert K 1054074Agent - Life11/12/2019 
ActiveGatzke, Howard N 772949Agent - Health11/3/2016 
ActiveGatzke, Howard N 772949Agent - Life11/3/2016 
ActiveGonsorowski, Karla Therese 1277163Agent - Health7/5/2023 
InactiveGriffin, Philip Allen 341063Agent - Health9/6/20027/31/2008
InactiveGriffin, Philip Allen 341063Agent - Life9/6/20027/31/2008
InactiveHall, Alan D 525966Agent - Health10/2/200910/15/2013
InactiveHall, Alan D 525966Agent - Life10/2/200910/15/2013
InactiveHarris, Brian Todd 368001Agent - Health5/21/20197/31/2019
InactiveHarris, Brian Todd 368001Agent - Life5/21/20197/31/2019
InactiveHeaton, Warren Jay 391231Agent - Health9/30/20022/20/2003
InactiveHeaton, Warren Jay 391231Agent - Life9/30/20022/20/2003
InactiveHicks, Staycee 1088780Agent - Health7/28/20214/7/2022
InactiveHicks, Staycee 1088780Agent - Life7/28/20214/7/2022
InactiveHundley, Jason 929368Agent - Health11/3/201612/17/2018
InactiveHundley, Jason 929368Agent - Life11/3/201612/17/2018
ActiveHuseby, Darrell A 784299Agent - Health11/3/2016 
ActiveHuseby, Darrell A 784299Agent - Life11/3/2016 
InactiveJames, Russell Skyler 818600Agent - Health11/3/201610/19/2017
InactiveJames, Russell Skyler 818600Agent - Life11/3/201610/19/2017
ActiveJohnson, Michael L 340817Agent - Health2/12/2007 
ActiveJohnson, Michael L 340817Agent - Life2/12/2007 
InactiveKime, Jodi Lynn 981210Agent - Health1/18/20185/7/2018
InactiveKime, Jodi Lynn 981210Agent - Life1/18/20185/7/2018
ActiveKing, Rob 1306632Agent - Health11/6/2023 
ActiveKing, Rob 1306632Agent - Life11/6/2023 
ActiveKormelink, Lisa Libs 809590Agent - Health3/2/2018 
ActiveKormelink, Lisa Libs 809590Agent - Life3/2/2018 
ActiveKraatz, Larry Andrew 1064877Agent - Health12/19/2019 
ActiveKraatz, Larry Andrew 1064877Agent - Life12/19/2019 
InactiveLiles, Terry G 318765Agent - Health3/4/20022/20/2003
InactiveLiles, Terry G 318765Agent - Life3/4/20022/20/2003
ActiveLoveless, Steven Lawrence 545008Agent - Health7/27/2021 
ActiveLoveless, Steven Lawrence 545008Agent - Life7/27/2021 
InactiveMakarem, Mohamed 788158Agent - Health11/3/20161/4/2017
InactiveMakarem, Mohamed 788158Agent - Life11/3/20161/4/2017
InactiveMcfarlane, Oneil Android 1104840Agent - Health8/23/20212/8/2022
InactiveMoncrief, Thomas E 1164417Agent - Life11/3/20211/24/2022
InactiveMudido, Daniel L. 510318Agent - Health3/9/20014/16/2001
InactiveMudido, Daniel L. 510318Agent - Life3/9/20014/16/2001
InactiveNord-Nash, Kimberly Kay 983821Agent - Health2/16/20186/8/2023
InactiveNord-Nash, Kimberly Kay 983821Agent - Life2/16/20185/24/2021
ActivePeltzman, Carl J 1337079Agent - Health5/9/2024 
DeniedPeltzman, Carl J 1337079Agent - Life  
InactivePerkins, Christopher J 1324033Agent - Health3/12/20254/7/2025
InactivePerkins, Christopher J 1324033Agent - Life3/12/20254/7/2025
InactivePerkins, Fred 380237Agent - Health11/5/20012/20/2003
InactivePerkins, Fred 380237Agent - Life11/5/20012/20/2003
InactivePeterson, Thomas D 772945Agent - Health11/3/20164/30/2019
InactivePeterson, Thomas D 772945Agent - Life11/3/20164/30/2019
InactivePohl, Donna Marie 521421Agent - Health7/2/20012/20/2003
InactivePohl, Donna Marie 521421Agent - Life7/2/20012/20/2003
InactiveRomano, Mario 1073931Agent - Health3/10/20208/14/2020
InactiveRomano, Mario 1073931Agent - Life3/10/20208/14/2020
DeniedSafranski, Wayne Frank 811971Agent - Health  
DeniedSafranski, Wayne Frank 811971Agent - Life  
ActiveSchiller, Anthony 839436Agent - Health11/3/2016 
ActiveSchiller, Anthony 839436Agent - Life11/3/2016 
ActiveSchwab, Werner G 786751Agent - Health6/16/2021 
ActiveSchwab, Werner G 786751Agent - Life6/16/2021 
InactiveSchwitz, Steven P 325349Agent - Health7/10/20172/25/2019
InactiveSchwitz, Steven P 325349Agent - Life7/10/20172/25/2019
ActiveSelig, Catherine Terese 1240048Agent - Health3/5/2025 
ActiveShea, Stephen 749206Agent - Health4/3/2019 
ActiveShea, Stephen 749206Agent - Life4/17/2019 
ActiveStanton, Scott W 745179Agent - Health3/14/2025 
ActiveStanton, Scott W 745179Agent - Life3/26/2025 
DeniedTouhey, Phillip S 775439Agent - Health  
DeniedTouhey, Phillip S 775439Agent - Life  
ActiveVelieri, Susan Lucille 1142598Agent - Health1/29/2025 
ActiveVelieri, Susan Lucille 1142598Agent - Life2/5/2025 
ActiveWeinberg, Sharon 1126203Agent - Health10/30/2021 
ActiveWeinberg, Sharon 1126203Agent - Life4/19/2021 
InactiveWhittington, Alan Stanley 384994Agent - Health12/19/20012/20/2003
InactiveWilliams, Kenneth T 1025941Agent - Health4/26/20193/31/2021
InactiveWilliams, Kenneth T 1025941Agent - Life4/26/20193/31/2021
InactiveWills, Davylynne 1208861Agent - Health6/30/20223/31/2023
InactiveWills, Davylynne 1208861Agent - Life6/30/20223/31/2023
InactiveWilson, Steven Paul 1135794Agent - Health10/1/20215/30/2024
InactiveWilson, Steven Paul 1135794Agent - Life8/5/20215/30/2024

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