DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Seniors Financial Group, Inc.DOIID544154NAIC NPN7223450
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/23/2006 3/31/2026
ActiveResidentAgentHealth5/23/2006 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Continental Insurance Company643130Agent - Health4/16/200712/10/2013
InactiveAmerican Continental Insurance Company643130Agent - Life4/16/200712/10/2013
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/27/201211/20/2013
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/1/2012 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health5/1/2012 
ActiveAnthem Life Insurance Company301209Agent - Life5/1/2012 
InactiveBaltimore Life Insurance Company300286Agent - Health8/15/200612/19/2006
InactiveBaltimore Life Insurance Company300286Agent - Life8/15/200612/19/2006
InactiveBankers Fidelity Life Insurance Company300193Agent - Health3/16/201412/24/2014
InactiveBankers Fidelity Life Insurance Company300193Agent - Life3/16/201412/24/2014
InactiveCSI Life Insurance Company596032Agent - Health6/23/20162/25/2019
InactiveCentral States Indemnity Company of Omaha300285Agent - Health5/20/201412/11/2014
InactiveCigna National Health Insurance Company300235Agent - Health3/7/200711/28/2008
InactiveCigna National Health Insurance Company300235Agent - Life3/7/200711/28/2008
ActiveCitizens Security Life Insurance Company301257Agent - Health9/1/2006 
ActiveCitizens Security Life Insurance Company301257Agent - Life9/1/2006 
InactiveCombined Insurance Company of America301472Agent - Health5/2/20141/12/2022
InactiveConnecticut General Life Insurance Company301333Agent - Health3/20/20136/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life3/20/20136/11/2014
InactiveConseco Health Insurance Company301725Agent - Health6/5/200711/13/2009
InactiveConseco Health Insurance Company301725Agent - Life6/5/200711/13/2009
InactiveConseco Insurance Company301202Agent - Health6/5/200710/1/2010
InactiveConseco Insurance Company301202Agent - Life6/5/200710/1/2010
InactiveContinental General Insurance Company300691Agent - Health3/7/200711/28/2008
InactiveContinental General Insurance Company300691Agent - Life3/7/200711/28/2008
InactiveFamily Life Insurance Company300356Agent - Health4/1/201012/28/2010
InactiveFamily Life Insurance Company300356Agent - Life4/1/201012/28/2010
InactiveForethought Life Insurance Company301407Agent - Health11/29/201011/13/2014
InactiveForethought Life Insurance Company301407Agent - Life11/29/201011/13/2014
InactiveGenworth Life Insurance Company300623Agent - Health8/16/200612/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/16/200612/7/2012
InactiveGerber Life Insurance Company300529Agent - Health9/11/20134/21/2015
InactiveGerber Life Insurance Company300529Agent - Life9/11/20134/21/2015
InactiveIndependent Order of Foresters300743Agent - Life12/9/201011/16/2011
InactiveLoyal American Life Insurance Company301172Agent - Health2/21/200812/14/2010
InactiveLoyal American Life Insurance Company301172Agent - Life2/21/200812/14/2010
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health4/9/200712/17/2010
InactiveNational States Insurance Company300579Agent - Health9/10/200911/30/2010
InactiveNational States Insurance Company300579Agent - Life9/10/200911/30/2010
InactiveProvident American Life & Health Insurance Company300413Agent - Health3/7/200712/30/2010
InactiveProvident American Life & Health Insurance Company300413Agent - Life3/7/20072/25/2011
InactiveShenandoah Life Insurance Company300130Agent - Health11/13/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life11/13/20063/31/2009
InactiveStonebridge Life Insurance Company301614Agent - Health10/1/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life10/1/201210/1/2015
InactiveTransamerica Life Insurance Company300571Agent - Health3/1/20136/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Life3/1/20136/15/2021
InactiveUnited Teacher Associates Insurance Company300747Agent - Health3/7/200711/25/2014
InactiveUnited Teacher Associates Insurance Company300747Agent - Life3/7/200711/25/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/27/20128/22/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/27/20128/22/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/15/20128/5/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/7/20128/5/2013
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/27/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurgett, Jennifer L. 574374Agent - Health8/28/20064/17/2008
InactiveBurgett, Jennifer L. 574374Agent - Life8/28/20064/17/2008
InactiveClark, David Allen 573506Agent - Health5/17/201111/10/2011
InactiveClark, David Allen 573506Agent - Life5/17/201111/10/2011
ActiveCombs, Charles 739549Agent - Health7/3/2012 
ActiveCombs, Charles 739549Agent - Life7/3/2012 
InactiveCostellow, Caleb Allen 636588Agent - Health7/3/201210/26/2012
InactiveCostellow, Caleb Allen 636588Agent - Life7/3/201210/26/2012
InactiveFish, Jackie Ray 602760Agent - Health4/17/20081/27/2010
InactiveFish, Jackie Ray 602760Agent - Life4/17/20081/27/2010
InactiveFord, Jerry Steven 544144Agent - Health5/17/201111/10/2011
InactiveFord, Jerry Steven 544144Agent - Life5/17/201111/10/2011
ActiveFuller, Brandi 782761Agent - Health8/10/2012 
ActiveFuller, Brandi 782761Agent - Life8/23/2012 
InactiveHood, Mark Alan 606753Agent - Health8/28/200610/12/2006
InactiveHood, Mark Alan 606753Agent - Life8/28/200610/12/2006
InactiveKendall, Mark Dennis 320693Agent - Health5/17/20113/1/2020
InactiveKendall, Mark Dennis 320693Agent - Life5/17/20113/1/2020
InactiveKey, Sonya Renee 570740Agent - Health10/12/20062/8/2007
InactiveLangford, Gary Steven 359526Agent - Health8/28/200611/10/2011
InactiveLangford, Gary Steven 359526Agent - Life8/28/200611/10/2011
InactiveLansden, William H 317248Agent - Health5/7/20135/1/2017
InactiveLansden, William H 317248Agent - Life5/7/20135/1/2017
InactiveLeedy, Tricia Monica 786855Agent - Health3/5/20137/31/2022
InactiveLeedy, Tricia Monica 786855Agent - Life3/5/20137/31/2022
InactiveMyatt, Ashley Christen 667347Agent - Health4/17/20081/27/2010
InactiveMyatt, Ashley Christen 667347Agent - Life4/17/20081/27/2010
ActiveMyatt, Davy Ray 379309Agent - Health5/23/2006 
ActiveMyatt, Davy Ray 379309Agent - Life5/23/2006 
ActiveMyatt, Garry Lee 342376Agent - Health8/28/2006 
ActiveMyatt, Garry Lee 342376Agent - Life8/28/2006 
ActiveMyatt, Jimmy 358714Agent - Health8/28/2006 
ActiveMyatt, Jimmy 358714Agent - Life8/28/2006 
InactiveMyatt, Joshua David 628534Agent - Health9/4/20128/31/2015
InactiveMyatt, Joshua David 628534Agent - Life9/4/20128/31/2015
InactiveMyatt, Julius Larry 323752Agent - Health8/28/20069/1/2015
InactiveMyatt, Julius Larry 323752Agent - Life8/28/20069/1/2015
InactiveMyatt, Melinda 673120Agent - Health4/17/200812/31/2010
InactiveMyatt, Melinda 673120Agent - Life4/17/200812/31/2010
InactiveMyatt, Teresa Kim 503745Agent - Health4/1/201312/13/2014
InactiveNelson, Curtis Andrew 564943Agent - Health8/28/20068/20/2010
InactiveNelson, Curtis Andrew 564943Agent - Life8/28/20068/20/2010
InactiveRaymer, April 667348Agent - Health1/29/20085/1/2010
InactiveSalmon, Lisa Dawn 521423Agent - Health8/21/201210/1/2014
InactiveSalmon, Lisa Dawn 521423Agent - Life8/21/201210/1/2014
InactiveThompson, Tom David 770331Agent - Health8/20/201210/26/2012
InactiveThompson, Tom David 770331Agent - Life8/23/201210/26/2012
InactiveVanHook, Paula Sue 542232Agent - Health8/28/200611/10/2011
InactiveVanHook, Paula Sue 542232Agent - Life8/28/200611/10/2011
InactiveWest, Valerie 711390Agent - Health5/17/201111/10/2011
InactiveWest, Valerie 711390Agent - Life5/17/201111/10/2011

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