DEPARTMENT OF INSURANCE
Affiliations
NameAssn Group Ins Administrators
DBA : Association Group Insurance Agency, Inc, Association Group Insurance Administrators Co., Assocation Group Insurance Administrators Inc, Insurance Central Services, Association Group Insurance Administrators Inc of California, AGIA Group, AGIA/Association Group Insurance Administrators Inc (FN), TBA Association Insurance Agency, Kentucky Group Insurance Agency Inc		DOIID518628NAIC NPN661506
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty3/24/20113/19/2020 
InactiveNon ResidentAgentLife12/22/20003/31/2022 
InactiveNon ResidentAgentHealth12/22/20003/31/2022 
InactiveNon ResidentAgentCasualty3/24/20113/19/2020 
* 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
InactiveAetna Health Inc.300694Agent - Health5/23/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20078/13/2012
InactiveAetna Life Insurance Company301140Agent - Health5/23/20068/13/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/1/200112/19/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/1/200112/19/2003
DeniedAmerican Bankers Life Assurance Company of Florida300171Agent - Health  
DeniedAmerican Bankers Life Assurance Company of Florida300171Agent - Life  
InactiveAmerican General Assurance Company300586Agent - Health5/20/200912/31/2012
InactiveAmerican General Assurance Company300586Agent - Life5/20/200912/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/26/20192/3/2020
InactiveAmerican General Life Insurance Company301585Agent - Life12/26/20192/3/2020
InactiveBankers Life and Casualty Company300701Agent - Health10/8/20033/31/2022
InactiveBankers Life and Casualty Company300701Agent - Life10/8/20033/31/2022
InactiveConnecticut General Life Insurance Company301333Agent - Health12/26/20089/26/2014
InactiveEmpower Annuity Insurance Company of America300259Agent - Life8/27/20121/16/2020
InactiveFidelity Security Life Insurance Company300466Agent - Health2/6/20015/5/2021
InactiveFidelity Security Life Insurance Company300466Agent - Life2/6/20015/5/2021
InactiveGuarantee Trust Life Insurance Company301043Agent - Health3/5/200112/10/2004
InactiveGuarantee Trust Life Insurance Company301043Agent - Life3/5/200112/10/2004
InactiveHartford Life and Accident Insurance Company300878Agent - Health2/15/200111/22/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life2/15/200111/22/2019
InactiveLife Insurance Company of North America300711Agent - Health12/22/20003/31/2022
InactiveLife Insurance Company of North America300711Agent - Life12/22/20003/31/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/20/20122/3/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/20/20122/3/2021
InactiveMetropolitan Life Insurance Company301948Agent - Health6/20/20133/31/2022
InactiveMetropolitan Life Insurance Company301948Agent - Life6/20/20133/31/2022
InactiveNew York Life Insurance Company300431Agent - Health6/13/20021/2/2020
InactiveNew York Life Insurance Company300431Agent - Life6/13/20021/2/2020
InactivePruco Life Insurance Company300954Agent - Life10/21/20143/31/2022
InactiveQBE Insurance Corporation300515Agent - Health11/18/200912/9/2015
InactiveSecurity Life Insurance Company of America300936Agent - Health10/1/200111/5/2001
InactiveSecurity Life Insurance Company of America300936Agent - Life10/1/200111/5/2001
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/15/20012/12/2020
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/15/20012/12/2020
InactiveTime Insurance Company300683Agent - Health3/1/200112/20/2014
InactiveTime Insurance Company300683Agent - Life3/1/200112/20/2014
InactiveTransamerica Life Insurance Company300571Agent - Health10/21/20083/31/2022
InactiveTransamerica Life Insurance Company300571Agent - Life10/21/20083/31/2022
InactiveTransamerica Premier Life Insurance Company300558Agent - Health2/5/200110/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/5/200110/1/2020
InactiveUnimerica Insurance Company563724Agent - Health7/18/20063/31/2022
InactiveUnimerica Insurance Company563724Agent - Life7/18/20063/31/2022
InactiveUnited States Fire Insurance Company582240Agent - Casualty4/26/20163/19/2020
InactiveUnited States Fire Insurance Company582240Agent - Health4/26/20163/31/2022
InactiveUnited States Fire Insurance Company582240Agent - Property4/26/20163/19/2020
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/2/20013/31/2022
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/2/20013/31/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/18/200611/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/18/200611/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/18/200611/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/18/200611/30/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBallard, Carole Jeane 545270Agent - Health9/2/20102/6/2013
InactiveBallard, Carole Jeane 545270Agent - Life9/2/20102/6/2013
InactiveCarnighan, John Arturo 688296Agent - Health9/2/20108/1/2012
InactiveCarnighan, John Arturo 688296Agent - Life9/2/20108/1/2012
InactiveDekarski, Debra 688496Agent - Health9/2/20107/30/2021
InactiveDekarski, Debra 688496Agent - Life9/2/20107/30/2021
InactiveDurham, Jillian Sabrina 578340Agent - Health9/2/201011/11/2011
InactiveDurham, Jillian Sabrina 578340Agent - Life9/2/201011/11/2011
InactiveFarias, Ester 598434Agent - Health9/2/20102/4/2013
InactiveFarias, Ester 598434Agent - Life9/2/20102/4/2013
InactiveGerety, Matthew Martin 339742Agent - Health9/2/20103/31/2022
InactiveGerety, Matthew Martin 339742Agent - Life9/2/20103/31/2022
InactiveJones, Larry Dean 694962Agent - Health9/2/20103/31/2013
InactiveJones, Larry Dean 694962Agent - Life9/2/20103/31/2013
InactiveKidwell, William Max 722973Agent - Health9/2/20103/31/2012
InactiveKidwell, William Max 722973Agent - Life9/2/20103/31/2012
InactiveKreshesky, Ronald Francis 526009Agent - Casualty8/3/201812/20/2019
InactiveKreshesky, Ronald Francis 526009Agent - Health8/3/201812/20/2019
InactiveKreshesky, Ronald Francis 526009Agent - Life8/3/201812/20/2019
InactiveKreshesky, Ronald Francis 526009Agent - Property8/3/201812/20/2019
InactiveMcAllister, Karen Ann 519998Agent - Health9/2/20106/19/2013
InactiveMcAllister, Karen Ann 519998Agent - Life9/2/20106/19/2013
InactiveMiller, Steven Paul 501376Agent - Health9/2/201012/1/2010
InactiveMiller, Steven Paul 501376Agent - Life9/2/201012/1/2010
InactiveNaumann, James Christopher 722959Agent - Health9/2/201012/31/2019
InactiveNaumann, James Christopher 722959Agent - Life9/2/201012/31/2019
DeniedRay, Cherisse Ella 586292Agent - Health  
DeniedRay, Cherisse Ella 586292Agent - Life  
InactiveSmith, Paul Richard 329992Agent - Health9/2/20103/31/2022
InactiveSmith, Paul Richard 329992Agent - Life9/2/20103/31/2022
InactiveWigle, John Byron 356567Agent - Casualty3/24/20117/25/2018
InactiveWigle, John Byron 356567Agent - Health12/22/20007/25/2018
InactiveWigle, John Byron 356567Agent - Life12/22/20007/25/2018
InactiveWigle, John Byron 356567Agent - Property3/24/20117/25/2018
InactiveWiley, Staci Cherise 688501Agent - Health9/2/201011/30/2012
InactiveWiley, Staci Cherise 688501Agent - Life9/2/201011/30/2012

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