DEPARTMENT OF INSURANCE

Affiliations

Name	ACSIA Long Term Care, Inc.	DOIID	594379	NAIC NPN	7958728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/22/2004	3/31/2026
Active	Non Resident	Agent	Health	9/22/2004	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 National Insurance Company	301861	Agent - Health	6/24/2014	4/29/2021
Active	American National Insurance Company	301861	Agent - Life	6/24/2014
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	12/2/2015	8/13/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/21/2005	12/3/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/21/2005	12/3/2019
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/12/2008	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/12/2008	10/4/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/11/2005	3/5/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/11/2005	3/5/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/14/2004	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/14/2004	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/29/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/29/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	9/25/2008	2/18/2011
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/25/2008	2/18/2011
Inactive	MedAmerica Insurance Company	301568	Agent - Health	10/6/2004	3/2/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/11/2004	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/11/2004	5/26/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/1/2010	12/26/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/8/2007	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/8/2007	12/23/2014
Inactive	Reserve National Insurance Company	301073	Agent - Health	1/3/2020	5/26/2021
Inactive	State Life Insurance Company	301497	Agent - Health	4/24/2007	6/20/2016
Inactive	State Life Insurance Company	301497	Agent - Life	4/24/2007	6/20/2016
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/15/2009
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/15/2009
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	10/30/2014	11/16/2020
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Life	10/30/2014	11/16/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/1/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/1/2010	12/26/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eaton, Arthur Thomas	567198	Agent - Health	9/22/2004	1/14/2009
Inactive	Eaton, Arthur Thomas	567198	Agent - Life	9/22/2004	1/14/2009
Active	Hensley, Steven Andrew	873190	Agent - Health	11/17/2015
Active	Hensley, Steven Andrew	873190	Agent - Life	11/17/2015
Inactive	Pitbladdo, Richard	667333	Agent - Health	3/1/2013	11/17/2015
Inactive	Pitbladdo, Richard	667333	Agent - Life	3/1/2013	11/17/2015
Inactive	Skiff, Deborah Lynn	612455	Agent - Health	1/8/2010	3/1/2013
Inactive	Skiff, Deborah Lynn	612455	Agent - Life	1/8/2010	3/1/2013