DEPARTMENT OF INSURANCE

Affiliations

Name	NFP Corporate Services (PA), Inc.	DOIID	518934	NAIC NPN	3523374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/11/2000	3/31/2026
Active	Non Resident	Agent	Health	12/11/2000	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/20/2003
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/20/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/10/2003	4/24/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/10/2003	4/24/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/5/2001	11/16/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/5/2001	11/16/2012
Active	Combined Insurance Company of America	301472	Agent - Health	2/28/2017
Active	Combined Insurance Company of America	301472	Agent - Life	2/28/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/5/2014	5/2/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/5/2014	5/2/2017
Inactive	General American Life Insurance Company	300280	Agent - Health	8/25/2004	11/19/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	8/25/2004	11/19/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/17/2007	12/2/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/17/2007	12/2/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/17/2007	12/2/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/17/2007	12/2/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/5/2014	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	3/5/2014	5/2/2017
Inactive	Humana Insurance Company	301104	Agent - Life	3/5/2014	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/5/2014	5/2/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/5/2014	5/2/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/5/2014	4/25/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/5/2014	4/25/2017
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/20/2005	3/27/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/20/2005	3/27/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/5/2001	11/16/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/5/2001	11/16/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/25/2004	11/19/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/25/2004	11/19/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/14/2018	12/13/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/14/2018	12/13/2018
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/29/2023
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/29/2000	4/17/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/23/2001	4/17/2009
Inactive	New York Life Insurance Company	300431	Agent - Health	5/19/2006	1/26/2009
Inactive	New York Life Insurance Company	300431	Agent - Life	5/19/2006	1/26/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	5/19/2006	1/29/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/19/2006	1/29/2009
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/14/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/14/2015
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	12/11/2000	12/13/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	12/11/2000	9/29/2012
Inactive	Southland Life Insurance Company	301175	Agent - Life	12/27/2000	10/1/2004
Active	Starmount Life Insurance Company	628031	Agent - Health	3/13/2020
Active	Tier One Insurance Company	301056	Agent - Health	4/8/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/11/2010	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/11/2010	10/1/2020
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/14/2015
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/14/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/14/2002	11/29/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/14/2002	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/14/2002	11/29/2016
Active	Unum Insurance Company	301499	Agent - Health	3/13/2020
Active	Unum Insurance Company	301499	Agent - Life	3/13/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Becker, Marie E	1079900	Agent - Health	7/30/2020
Active	Becker, Marie E	1079900	Agent - Life	7/30/2020
Active	Colarusso, Michael G	897943	Agent - Health	3/23/2016
Active	Colarusso, Michael G	897943	Agent - Life	3/23/2016
Inactive	Gavigan, Christopher J	605861	Agent - Health	8/29/2005	3/31/2020
Inactive	Gavigan, Christopher J	605861	Agent - Life	8/29/2005	3/31/2020
Inactive	Leeper, Robert H	350938	Agent - Health	12/11/2000	3/23/2016
Inactive	Leeper, Robert H	350938	Agent - Life	12/11/2000	3/23/2016