DEPARTMENT OF INSURANCE
Affiliations
NamePremier Insurance Partners LLCDOIID585527NAIC NPN7867252
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/3/2004 3/31/2026
ActiveNon ResidentAgentLife3/3/2004 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life12/19/2023 
ActiveAetna Health Inc. (PA)660717Agent - Health4/24/2015 
ActiveAetna Health and Life Insurance Company300523Agent - Health4/26/2018 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/24/2015 
ActiveAetna Life Insurance Company301140Agent - Life4/24/2015 
InactiveAmerican Continental Insurance Company643130Agent - Life4/26/20188/11/2021
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life4/16/2007 
ActiveAmerican Life & Security Corp1055058Agent - Life7/14/2023 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health1/3/201912/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life11/13/201312/21/2018
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life4/9/2025 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health7/3/200810/3/2023
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life7/3/2008 
ActiveAtlantic Coast Life Insurance Company642114Agent - Health1/27/2022 
ActiveAtlantic Coast Life Insurance Company642114Agent - Life1/27/2022 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/28/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/28/20192/3/2025
ActiveChristian Fidelity Life Insurance Company301075Agent - Life1/23/2024 
InactiveConnecticut General Life Insurance Company301333Agent - Health2/7/20106/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life2/7/20106/11/2014
InactiveConseco Health Insurance Company301725Agent - Health6/22/200710/1/2010
InactiveConseco Health Insurance Company301725Agent - Life6/22/200710/1/2010
InactiveConseco Insurance Company301202Agent - Health6/22/200710/1/2010
InactiveConseco Insurance Company301202Agent - Life6/22/200710/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/26/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life12/19/2023 
ActiveEquiTrust Life Insurance Company502870Agent - Life7/13/2006 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/17/2012 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health4/24/2015 
ActiveForethought Life Insurance Company301407Agent - Health4/19/2012 
ActiveForethought Life Insurance Company301407Agent - Life3/29/2012 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life6/4/2020 
InactiveGenworth Life Insurance Company300623Agent - Health6/16/201010/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life6/16/201010/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health6/16/201010/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life6/16/201010/4/2012
ActiveGerber Life Insurance Company300529Agent - Health6/13/2013 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2013 
ActiveGolden Rule Insurance Company301943Agent - Health3/12/2025 
ActiveGolden Rule Insurance Company301943Agent - Life3/12/2025 
ActiveHealthSpring National Health Insurance Company300235Agent - Health7/29/2024 
ActiveIndependent Order of Foresters300743Agent - Life2/20/2008 
ActiveInvestors Heritage Life Insurance Company300363Agent - Life10/8/2018 
InactiveLasso Healthcare Insurance Company1022651Agent - Health6/16/202312/22/2023
ActiveLiberty Bankers Life Insurance Company542461Agent - Life10/10/2011 
InactiveLoyal American Life Insurance Company301172Agent - Health7/22/201412/27/2022
InactiveLoyal American Life Insurance Company301172Agent - Life7/22/201412/27/2022
InactiveLumico Life Insurance Company300354Agent - Life8/2/202011/20/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health12/8/20081/27/2014
ActiveNassau Life Insurance Company of Kansas300667Agent - Health6/24/2024 
ActiveNassau Life and Annuity Company513671Agent - Life10/23/2023 
ActiveNational Health Insurance Company300554Agent - Health3/7/2023 
ActiveNational Health Insurance Company300554Agent - Life3/7/2023 
ActiveNational Western Life Insurance Company301515Agent - Life2/21/2011 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/20/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/20/2021 
ActiveOceanview Life and Annuity Company301868Agent - Life2/5/2020 
ActiveOhio State Life Insurance Company (The)300865Agent - Life10/6/2022 
InactiveOmaha Insurance Company751908Agent - Health3/30/20121/27/2014
InactiveOxford Life Insurance Company301079Agent - Health7/12/201212/23/2019
ActiveOxford Life Insurance Company301079Agent - Life1/19/2024 
InactivePHL Variable Insurance Company300525Agent - Life12/31/201312/3/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health8/31/201011/3/2011
ActivePruco Life Insurance Company300954Agent - Life4/7/2022 
ActiveRoyal Neighbors of America301646Agent - Life9/9/2015 
InactiveSILAC Insurance Company300535Agent - Health10/10/20129/23/2013
InactiveSILAC Insurance Company300535Agent - Life10/10/20129/23/2013
ActiveSentinel Security Life Insurance Company935789Agent - Health10/19/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/19/2022 
ActiveSilverScript Insurance Company663526Agent - Health1/13/2020 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life9/16/2022 
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/3/20078/14/2007
InactiveUnited Teacher Associates Insurance Company300747Agent - Health3/3/20047/1/2011
InactiveUnited Teacher Associates Insurance Company300747Agent - Life3/3/20047/1/2011
InactiveUnited World Life Insurance Company300532Agent - Health12/8/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/8/20081/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/8/20081/27/2014
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/31/2010 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/31/201012/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
InactiveWashington National Insurance Company300587Agent - Health6/22/20077/10/2018
InactiveWashington National Insurance Company300587Agent - Life6/22/20077/10/2018
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/20/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20188/24/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20188/24/2022
InactiveMorgan, Daniel Edward 906233Agent - Health11/2/20233/28/2024
InactiveMorgan, Daniel Edward 906233Agent - Life11/2/20233/28/2024
InactiveNorth, Timothy Owen 514133Agent - Health3/3/20044/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life3/3/20044/13/2018
InactiveRamsey, Ryan 1002323Agent - Health4/8/20242/3/2025
InactiveRamsey, Ryan 1002323Agent - Life4/8/20242/3/2025
ActiveSheen, Andrew 1292171Agent - Health2/3/2025 
ActiveSheen, Andrew 1292171Agent - Life2/3/2025 
InactiveSipes, Janet Leigh 658658Agent - Health8/11/202211/2/2023
InactiveSipes, Janet Leigh 658658Agent - Life8/23/202211/2/2023

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