DEPARTMENT OF INSURANCE

Affiliations

Name	Word III, John Marion	DOIID	572226	NAIC NPN	573094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/25/2003	7/20/2016
Active	Non Resident	Agent	Life	3/31/2009		9/30/2026
Active	Non Resident	Agent	Health	3/31/2009		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/12/2024	08/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/11/2013
Active	Aetna Life Insurance Company	301140	Agent - Health	1/11/2013
Active	Aetna Life Insurance Company	301140	Agent - Life	1/11/2013
Active	American General Life Insurance Company	301585	Agent - Health	6/9/2011
Active	American General Life Insurance Company	301585	Agent - Life	6/9/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/21/2012	6/15/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/6/2009	6/15/2018
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/19/2013	4/21/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/4/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/4/2010	12/26/2012
Active	Golden Rule Insurance Company	301943	Agent - Health	9/3/2010
Active	Golden Rule Insurance Company	301943	Agent - Life	9/3/2010
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/26/2016	5/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2009	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2010	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/8/2010	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/6/2009	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/6/2009	6/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/21/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/21/2012	5/13/2013
Inactive	Independent Order of Foresters	300743	Agent - Life	2/18/2011	12/29/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/21/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/21/2012	10/22/2015
Inactive	Revol One Insurance Company	300681	Agent - Life	9/16/2011	5/31/2012
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	1/8/2010
Active	Standard Life and Accident Insurance Company	301534	Agent - Life	1/8/2010
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/23/2012	8/4/2014
Inactive	Time Insurance Company	300683	Agent - Health	1/12/2015	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	1/12/2015	11/22/2019
Inactive	United American Insurance Company	300910	Agent - Health	7/30/2013	10/31/2014
Inactive	United American Insurance Company	300910	Agent - Life	7/30/2013	10/31/2014
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CONEXIS Benefits Administrators, L.P.	585938	Administrator - Not Applicable	4/11/2007	7/20/2016
Inactive	Choice Administrators Ins Services Inc	751630	Administrator - Not Applicable	4/6/2011	7/20/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	6/20/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	6/20/2017
Active	Healthcompare Ins Services Inc	708319	Agent - Life	6/25/2009
Active	Healthcompare Ins Services Inc	708319	Agent - Health	6/25/2009
Inactive	Quotit Corporation	935836	Agent - Life	11/4/2016	4/18/2017
Inactive	Quotit Corporation	935836	Agent - Health	11/4/2016	4/18/2017
Inactive	Word & Brown Ins Administrators Inc	572225	Administrator - Not Applicable	6/25/2003	7/20/2016
Active	Word & Brown Ins Administrators Inc	572225	Agent - Life	8/22/2012
Active	Word & Brown Ins Administrators Inc	572225	Agent - Health	8/22/2012