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DEPARTMENT OF INSURANCE
Affiliations
Name
American Seniors Financial Group, Inc.
DOIID
544154
NAIC NPN
7223450
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
5/23/2006
3/31/2026
Active
Resident
Agent
Health
5/23/2006
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
Inactive
American Continental Insurance Company
643130
Agent - Health
4/16/2007
12/10/2013
Inactive
American Continental Insurance Company
643130
Agent - Life
4/16/2007
12/10/2013
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/27/2012
11/20/2013
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
5/1/2012
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/12/2021
Active
Anthem Life Insurance Company
301209
Agent - Health
5/1/2012
Active
Anthem Life Insurance Company
301209
Agent - Life
5/1/2012
Inactive
Baltimore Life Insurance Company
300286
Agent - Health
8/15/2006
12/19/2006
Inactive
Baltimore Life Insurance Company
300286
Agent - Life
8/15/2006
12/19/2006
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Health
3/16/2014
12/24/2014
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Life
3/16/2014
12/24/2014
Inactive
CSI Life Insurance Company
596032
Agent - Health
6/23/2016
2/25/2019
Inactive
Central States Indemnity Company of Omaha
300285
Agent - Health
5/20/2014
12/11/2014
Inactive
Cigna National Health Insurance Company
300235
Agent - Health
3/7/2007
11/28/2008
Inactive
Cigna National Health Insurance Company
300235
Agent - Life
3/7/2007
11/28/2008
Active
Citizens Security Life Insurance Company
301257
Agent - Health
9/1/2006
Active
Citizens Security Life Insurance Company
301257
Agent - Life
9/1/2006
Inactive
Combined Insurance Company of America
301472
Agent - Health
5/2/2014
1/12/2022
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
3/20/2013
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
3/20/2013
6/11/2014
Inactive
Conseco Health Insurance Company
301725
Agent - Health
6/5/2007
11/13/2009
Inactive
Conseco Health Insurance Company
301725
Agent - Life
6/5/2007
11/13/2009
Inactive
Conseco Insurance Company
301202
Agent - Health
6/5/2007
10/1/2010
Inactive
Conseco Insurance Company
301202
Agent - Life
6/5/2007
10/1/2010
Inactive
Continental General Insurance Company
300691
Agent - Health
3/7/2007
11/28/2008
Inactive
Continental General Insurance Company
300691
Agent - Life
3/7/2007
11/28/2008
Inactive
Family Life Insurance Company
300356
Agent - Health
4/1/2010
12/28/2010
Inactive
Family Life Insurance Company
300356
Agent - Life
4/1/2010
12/28/2010
Inactive
Forethought Life Insurance Company
301407
Agent - Health
11/29/2010
11/13/2014
Inactive
Forethought Life Insurance Company
301407
Agent - Life
11/29/2010
11/13/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/16/2006
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/16/2006
12/7/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Health
9/11/2013
4/21/2015
Inactive
Gerber Life Insurance Company
300529
Agent - Life
9/11/2013
4/21/2015
Inactive
Independent Order of Foresters
300743
Agent - Life
12/9/2010
11/16/2011
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
2/21/2008
12/14/2010
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
2/21/2008
12/14/2010
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
4/9/2007
12/17/2010
Inactive
National States Insurance Company
300579
Agent - Health
9/10/2009
11/30/2010
Inactive
National States Insurance Company
300579
Agent - Life
9/10/2009
11/30/2010
Inactive
Provident American Life & Health Insurance Company
300413
Agent - Health
3/7/2007
12/30/2010
Inactive
Provident American Life & Health Insurance Company
300413
Agent - Life
3/7/2007
2/25/2011
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
11/13/2006
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
11/13/2006
3/31/2009
Inactive
Stonebridge Life Insurance Company
301614
Agent - Health
10/1/2012
10/1/2015
Inactive
Stonebridge Life Insurance Company
301614
Agent - Life
10/1/2012
10/1/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
3/1/2013
6/15/2021
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
3/1/2013
6/15/2021
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
3/7/2007
11/25/2014
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
3/7/2007
11/25/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
9/27/2012
8/22/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
9/27/2012
8/22/2013
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/15/2012
8/5/2013
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
5/7/2012
8/5/2013
Inactive
Washington National Insurance Company
300587
Agent - Health
10/1/2010
2/27/2014
Inactive
Washington National Insurance Company
300587
Agent - Life
10/1/2010
2/27/2014
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Burgett, Jennifer L.
574374
Agent - Health
8/28/2006
4/17/2008
Inactive
Burgett, Jennifer L.
574374
Agent - Life
8/28/2006
4/17/2008
Inactive
Clark, David Allen
573506
Agent - Health
5/17/2011
11/10/2011
Inactive
Clark, David Allen
573506
Agent - Life
5/17/2011
11/10/2011
Inactive
Costellow, Caleb Allen
636588
Agent - Health
7/3/2012
10/26/2012
Inactive
Costellow, Caleb Allen
636588
Agent - Life
7/3/2012
10/26/2012
Inactive
Fish, Jackie Ray
602760
Agent - Health
4/17/2008
1/27/2010
Inactive
Fish, Jackie Ray
602760
Agent - Life
4/17/2008
1/27/2010
Inactive
Ford, Jerry Steven
544144
Agent - Health
5/17/2011
11/10/2011
Inactive
Ford, Jerry Steven
544144
Agent - Life
5/17/2011
11/10/2011
Active
Fuller, Brandi
782761
Agent - Health
8/10/2012
Active
Fuller, Brandi
782761
Agent - Life
8/23/2012
Inactive
Hood, Mark Alan
606753
Agent - Health
8/28/2006
10/12/2006
Inactive
Hood, Mark Alan
606753
Agent - Life
8/28/2006
10/12/2006
Inactive
Kendall, Mark Dennis
320693
Agent - Health
5/17/2011
3/1/2020
Inactive
Kendall, Mark Dennis
320693
Agent - Life
5/17/2011
3/1/2020
Inactive
Key, Sonya Renee
570740
Agent - Health
10/12/2006
2/8/2007
Inactive
Langford, Gary Steven
359526
Agent - Health
8/28/2006
11/10/2011
Inactive
Langford, Gary Steven
359526
Agent - Life
8/28/2006
11/10/2011
Inactive
Lansden, William H
317248
Agent - Health
5/7/2013
5/1/2017
Inactive
Lansden, William H
317248
Agent - Life
5/7/2013
5/1/2017
Inactive
Leedy, Tricia Monica
786855
Agent - Health
3/5/2013
7/31/2022
Inactive
Leedy, Tricia Monica
786855
Agent - Life
3/5/2013
7/31/2022
Inactive
Myatt, Ashley Christen
667347
Agent - Health
4/17/2008
1/27/2010
Inactive
Myatt, Ashley Christen
667347
Agent - Life
4/17/2008
1/27/2010
Active
Myatt, Davy Ray
379309
Agent - Health
5/23/2006
Active
Myatt, Davy Ray
379309
Agent - Life
5/23/2006
Active
Myatt, Garry Lee
342376
Agent - Health
8/28/2006
Active
Myatt, Garry Lee
342376
Agent - Life
8/28/2006
Active
Myatt, Jimmy
358714
Agent - Health
8/28/2006
Active
Myatt, Jimmy
358714
Agent - Life
8/28/2006
Inactive
Myatt, Joshua David
628534
Agent - Health
9/4/2012
8/31/2015
Inactive
Myatt, Joshua David
628534
Agent - Life
9/4/2012
8/31/2015
Inactive
Myatt, Julius Larry
323752
Agent - Health
8/28/2006
9/1/2015
Inactive
Myatt, Julius Larry
323752
Agent - Life
8/28/2006
9/1/2015
Inactive
Myatt, Teresa Kim
503745
Agent - Health
4/1/2013
12/13/2014
Inactive
Nelson, Curtis Andrew
564943
Agent - Health
8/28/2006
8/20/2010
Inactive
Nelson, Curtis Andrew
564943
Agent - Life
8/28/2006
8/20/2010
Inactive
Norvell, Melinda
673120
Agent - Health
4/17/2008
12/31/2010
Inactive
Norvell, Melinda
673120
Agent - Life
4/17/2008
12/31/2010
Inactive
Raymer, April
667348
Agent - Health
1/29/2008
5/1/2010
Inactive
Salmon, Lisa Dawn
521423
Agent - Health
8/21/2012
10/1/2014
Inactive
Salmon, Lisa Dawn
521423
Agent - Life
8/21/2012
10/1/2014
Inactive
Thompson, Tom David
770331
Agent - Health
8/20/2012
10/26/2012
Inactive
Thompson, Tom David
770331
Agent - Life
8/23/2012
10/26/2012
Active
Van Combs, Charles
739549
Agent - Health
7/3/2012
Active
Van Combs, Charles
739549
Agent - Life
7/3/2012
Inactive
VanHook, Paula Sue
542232
Agent - Health
8/28/2006
11/10/2011
Inactive
VanHook, Paula Sue
542232
Agent - Life
8/28/2006
11/10/2011
Inactive
West, Valerie
711390
Agent - Health
5/17/2011
11/10/2011
Inactive
West, Valerie
711390
Agent - Life
5/17/2011
11/10/2011
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