DEPARTMENT OF INSURANCE
Affiliations
NamePremier Senior Marketing, LLCDOIID590957NAIC NPN1909744
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/13/2005 3/31/2027
ActiveNon ResidentAgentLife6/13/2005 3/31/2027
* 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
ActiveACE Property and Casualty Insurance Company300520Agent - Health7/31/2022 
InactiveAccendo Insurance Company300312Agent - Health7/25/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health11/14/2012 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/23/2020 
ActiveAetna Life Insurance Company301140Agent - Health11/14/2012 
ActiveAetna Life Insurance Company301140Agent - Life11/14/2012 
InactiveAmerican Continental Insurance Company643130Agent - Health8/6/200911/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life8/6/200912/6/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/15/202012/31/2024
InactiveAmerican Retirement Life Insurance Company706303Agent - Health3/11/202112/23/2022
InactiveAmerican Retirement Life Insurance Company706303Agent - Life6/19/201312/21/2018
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life4/5/2025 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/11/2010 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health1/11/20104/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life1/11/20104/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveAssurity Life Insurance Company301099Agent - Health3/21/201312/23/2016
InactiveAssurity Life Insurance Company301099Agent - Life3/21/201312/23/2016
ActiveCHA HMO, Inc.300662Agent - Health12/5/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/7/2014 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life10/25/2016 
InactiveCSI Life Insurance Company596032Agent - Health7/22/201610/7/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health2/17/20158/13/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/1/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life4/1/20192/3/2025
InactiveColumbian Life Insurance Company300810Agent - Life7/15/20207/16/2024
InactiveCompBenefits Dental, Inc.591692Agent - Health7/13/20123/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health1/3/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health12/24/20086/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life12/24/20086/11/2014
InactiveConseco Health Insurance Company301725Agent - Health4/25/200710/1/2010
InactiveConseco Health Insurance Company301725Agent - Life4/25/200710/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/15/2014 
ActiveDental Concern Inc. (The)301641Agent - Health7/12/2012 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/26/2024 
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
ActiveEssence Healthcare, Inc.657425Agent - Health10/22/2024 
InactiveFamily Life Insurance Company300356Agent - Health6/18/20099/22/2016
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/17/2021 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/26/2007 
ActiveForethought Life Insurance Company301407Agent - Health7/5/2012 
ActiveForethought Life Insurance Company301407Agent - Life7/5/2012 
InactiveGenworth Life Insurance Company300623Agent - Health11/16/200712/11/2018
InactiveGenworth Life Insurance Company300623Agent - Life11/16/200712/11/2018
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/16/200712/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/16/200712/14/2016
ActiveGlobe Life and Accident Insurance Company300639Agent - Health10/6/2021 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life10/6/2021 
ActiveGolden Rule Insurance Company301943Agent - Health10/16/2023 
ActiveGolden Rule Insurance Company301943Agent - Life10/16/2023 
ActiveGuarantee Trust Life Insurance Company301043Agent - Health7/13/2011 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life7/13/2011 
ActiveGuaranty Income Life Insurance Company552451Agent - Health6/7/2022 
ActiveGuaranty Income Life Insurance Company552451Agent - Life6/7/2022 
ActiveHealthSpring Life and Health Insurance Company, Inc.684899Agent - Health3/10/2025 
ActiveHealthSpring National Health Insurance Company300235Agent - Health6/2/2022 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/24/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health11/13/2018 
ActiveHumana Health Plan, Inc.300142Agent - Health7/13/2012 
ActiveHumana Insurance Company301104Agent - Health7/12/2012 
ActiveHumana Insurance Company301104Agent - Life7/12/2012 
ActiveHumana Insurance Company of Kentucky300826Agent - Health7/13/2012 
ActiveHumana Insurance Company of Kentucky300826Agent - Life7/13/2012 
ActiveHumana Medical Plan, Inc.801568Agent - Health5/18/2015 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveKanawha Insurance Company300127Agent - Health7/12/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/12/201210/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health8/5/202212/22/2023
InactiveLifeSecure Insurance Company301629Agent - Health8/14/200712/20/2007
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/7/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/7/2022 
ActiveLoyal American Life Insurance Company301172Agent - Health10/27/2021 
ActiveLoyal American Life Insurance Company301172Agent - Life10/27/2021 
InactiveLumico Life Insurance Company300354Agent - Health6/26/20182/17/2023
InactiveLumico Life Insurance Company300354Agent - Life11/21/201811/21/2024
InactiveManhattan Life Insurance Company300880Agent - Health6/12/20142/11/2019
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health10/9/2020 
InactiveMarquette National Life Insurance Company300117Agent - Health12/12/20119/13/2012
InactiveMarquette National Life Insurance Company300117Agent - Life12/12/20119/13/2012
InactiveMedAmerica Insurance Company301568Agent - Health6/14/20103/2/2016
ActiveMedco Containment Life Insurance Company301557Agent - Health11/7/2023 
ActiveMedico Insurance Company301559Agent - Health5/19/2017 
ActiveMedico Insurance Company301559Agent - Life5/19/2017 
InactiveMedico Life and Health Insurance Company907406Agent - Health5/19/20177/16/2024
InactiveMedico Life and Health Insurance Company907406Agent - Life5/19/20177/16/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/20/2021 
InactiveMutual of Omaha Insurance Company301012Agent - Health3/2/20061/24/2014
InactiveMutual of Omaha Medicare Advantage Company979434Agent - Health7/26/20194/28/2021
InactiveNassau Life Insurance Company of Kansas300667Agent - Health11/5/20081/3/2014
InactiveNassau Life and Annuity Company513671Agent - Life11/29/202112/28/2022
ActiveNational Health Insurance Company300554Agent - Health4/15/2022 
ActiveNational Health Insurance Company300554Agent - Life4/15/2022 
ActiveNational Western Life Insurance Company301515Agent - Life10/10/2021 
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life6/5/2025 
InactiveOmaha Insurance Company751908Agent - Health3/30/20121/24/2014
InactivePacifiCare Life and Health Insurance Company301304Agent - Health11/14/200510/26/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life11/14/20057/17/2012
ActivePrincipal Life Insurance Company300129Agent - Health8/21/2008 
ActivePrincipal Life Insurance Company300129Agent - Life8/21/2008 
ActiveRoyal Neighbors of America301646Agent - Life7/19/2018 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health4/4/201111/15/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life4/4/201111/15/2022
InactiveSterling Life Insurance Company301947Agent - Health12/7/20105/28/2015
InactiveSterling Life Insurance Company301947Agent - Life12/7/20102/1/2015
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTime Insurance Company300683Agent - Health8/2/20104/14/2011
InactiveTime Insurance Company300683Agent - Life8/2/20104/14/2011
ActiveTransamerica Life Insurance Company300571Agent - Health7/20/2011 
InactiveUnified Life Insurance Company543169Agent - Health10/14/201612/28/2018
InactiveUnion Security Insurance Company301844Agent - Health7/12/20182/26/2021
ActiveUnited American Insurance Company300910Agent - Health10/6/2021 
ActiveUnited American Insurance Company300910Agent - Life10/6/2021 
InactiveUnited World Life Insurance Company300532Agent - Health3/2/200612/15/2010
InactiveUnited World Life Insurance Company300532Agent - Life3/2/200612/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/2/20061/24/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/2/20061/24/2014
ActiveUnitedHealthcare Insurance Company300946Agent - Health11/1/2007 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
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 - Health6/2/201012/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
ActiveWashington National Insurance Company300587Agent - Health10/1/2010 
ActiveWashington National Insurance Company300587Agent - Life10/1/2010 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGillson, Jeffrey Todd 545068Agent - Health4/27/20108/8/2014
InactiveGillson, Jeffrey Todd 545068Agent - Life4/27/20108/8/2014
ActiveSchueth, Thomas Alan 591113Agent - Health6/13/2005 
ActiveSchueth, Thomas Alan 591113Agent - Life6/13/2005 

© Commonwealth of Kentucky. All rights reserved.