DEPARTMENT OF INSURANCE
Affiliations
NameMSIS, INCDOIID594764NAIC NPN5781655
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/22/2004 3/31/2026
ActiveNon ResidentAgentHealth9/22/2004 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health8/5/2022 
ActiveAccendo Insurance Company300312Agent - Health7/25/2022 
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health3/3/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health11/2/2015 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health3/3/2016 
ActiveAetna Life Insurance Company301140Agent - Life3/3/2016 
InactiveAmerican Continental Insurance Company643130Agent - Health5/19/20086/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life5/19/200812/6/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/26/201211/20/2013
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health8/2/20182/21/2022
InactiveAmerican National Life Insurance Company of Texas300912Agent - Life7/28/200611/22/2010
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health10/26/20049/13/2012
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life10/26/20049/13/2012
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/5/201312/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life8/5/201312/22/2020
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life7/3/2024 
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/5/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/30/2008 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/1/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/30/2008 
ActiveAnthem Life Insurance Company301209Agent - Life6/30/2008 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health8/28/20138/13/2018
ActiveChesapeake Life Insurance Company (The)301017Agent - Health4/11/2019 
ActiveChesapeake Life Insurance Company (The)301017Agent - Life4/11/2019 
ActiveCigna National Health Insurance Company300235Agent - Health12/7/2023 
InactiveCitizens Security Life Insurance Company301257Agent - Health9/22/200610/7/2010
InactiveCitizens Security Life Insurance Company301257Agent - Life9/22/200610/7/2010
ActiveClear Spring Health Insurance Company301686Agent - Health10/5/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health12/19/20116/15/2018
ActiveCompBenefits Insurance Company301864Agent - Health9/3/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
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 - Health4/23/2010 
InactiveDental Concern Inc. (The)301641Agent - Health12/19/201112/10/2018
ActiveElips Life Insurance Company301087Agent - Health8/23/2023 
InactiveEncova Life Insurance Company301818Agent - Life5/23/20071/1/2024
ActiveEssence Healthcare, Inc.657425Agent - Health10/7/2022 
InactiveEverest Reinsurance Company301836Agent - Health7/6/20184/7/2020
InactiveEverly Life Insurance Company561641Agent - Life12/17/201311/5/2014
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/8/2008 
InactiveForethought Life Insurance Company301407Agent - Health1/5/201112/20/2016
InactiveForethought Life Insurance Company301407Agent - Life1/5/201112/20/2016
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/18/20171/1/2019
InactiveGenworth Life Insurance Company300623Agent - Health8/17/200612/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life8/17/200612/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/17/200612/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/17/200612/14/2016
ActiveGerber Life Insurance Company300529Agent - Health7/30/2015 
ActiveGerber Life Insurance Company300529Agent - Life7/30/2015 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health9/24/2021 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life9/24/2021 
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health6/3/201012/26/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/3/201012/26/2012
ActiveGuarantee Trust Life Insurance Company301043Agent - Health2/1/2007 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life2/1/2007 
ActiveGuaranty Income Life Insurance Company552451Agent - Health3/16/2023 
ActiveGuaranty Income Life Insurance Company552451Agent - Life3/16/2023 
ActiveHeartland National Life Insurance Company948749Agent - Health8/18/2020 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/18/2015 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/23/2019 
InactiveHumana Health Plan, Inc.300142Agent - Health12/19/201112/10/2018
ActiveHumana Insurance Company301104Agent - Health12/19/2011 
ActiveHumana Insurance Company301104Agent - Life12/19/2011 
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/19/20116/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/19/20116/15/2018
ActiveHumana Medical Plan, Inc.801568Agent - Health4/6/2021 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/19/2019 
InactiveKanawha Insurance Company300127Agent - Health12/19/20114/25/2013
InactiveKanawha Insurance Company300127Agent - Life12/19/20114/25/2013
ActiveLasso Healthcare Insurance Company1022651Agent - Health8/22/2019 
ActiveLoyal American Life Insurance Company301172Agent - Health2/7/2024 
ActiveLumico Life Insurance Company300354Agent - Life2/1/2021 
InactiveManhattan Life Insurance Company300880Agent - Health6/17/20142/11/2019
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health10/22/2020 
ActiveManhattanLife Insurance and Annuity Company301795Agent - Life3/8/2022 
InactiveMarquette National Life Insurance Company300117Agent - Health11/12/20089/13/2012
InactiveMarquette National Life Insurance Company300117Agent - Life11/12/20089/13/2012
InactiveMedico Corp Life Insurance Company301777Agent - Health12/18/20182/11/2020
InactiveMedico Corp Life Insurance Company301777Agent - Life12/18/20182/11/2020
ActiveMedico Insurance Company301559Agent - Health1/12/2023 
ActiveMedico Insurance Company301559Agent - Life1/12/2023 
InactiveMedico Life and Health Insurance Company907406Agent - Health1/3/201912/28/2020
InactiveMedico Life and Health Insurance Company907406Agent - Life1/3/201912/28/2020
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/23/2021 
ActiveMutual of Omaha Insurance Company301012Agent - Health6/14/2005 
InactiveNassau Life Insurance Company of Kansas300667Agent - Health11/12/20081/30/2013
InactiveNassau Life Insurance Company of Kansas300667Agent - Life11/12/200812/13/2012
ActiveNational Health Insurance Company300554Agent - Health6/24/2022 
ActiveNational Health Insurance Company300554Agent - Life6/24/2022 
InactiveNational Western Life Insurance Company301515Agent - Life9/6/201111/27/2018
InactiveOmaha Insurance Company751908Agent - Health4/17/20129/19/2019
InactivePacifiCare Life and Health Insurance Company301304Agent - Health4/5/201011/6/2011
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
ActivePekin Life Insurance Company300951Agent - Health10/19/2017 
ActivePekin Life Insurance Company300951Agent - Life10/19/2017 
InactivePennsylvania Life Insurance Company301321Agent - Health11/12/20083/31/2013
InactivePennsylvania Life Insurance Company301321Agent - Life11/12/20083/31/2013
ActivePhiladelphia American Life Insurance Company300178Agent - Health8/18/2021 
ActivePhiladelphia American Life Insurance Company300178Agent - Life8/18/2021 
InactivePuritan Life Insurance Company of America301892Agent - Health4/28/20088/18/2008
InactivePuritan Life Insurance Company of America301892Agent - Life4/28/20088/18/2008
InactiveShenandoah Life Insurance Company300130Agent - Health11/27/20063/31/2009
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/13/201811/15/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life8/13/201811/15/2022
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveTime Insurance Company300683Agent - Health1/14/201412/20/2014
InactiveTime Insurance Company300683Agent - Life1/14/201412/20/2014
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life10/1/2020 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health1/28/202010/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life1/28/202010/1/2020
ActiveUnited American Insurance Company300910Agent - Health8/8/2018 
ActiveUnited American Insurance Company300910Agent - Life8/8/2018 
InactiveUnited Teacher Associates Insurance Company300747Agent - Health10/4/200412/31/2012
InactiveUnited Teacher Associates Insurance Company300747Agent - Life10/4/200412/31/2012
InactiveUnited World Life Insurance Company300532Agent - Health6/15/200512/15/2010
ActiveUnited of Omaha Life Insurance Company300156Agent - Health6/15/2005 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life6/15/2005 
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/5/2010 
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 - Health4/5/201012/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/2015 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/2022 
ActiveWellpoint Life and Health Insurance Company300469Agent - Health8/3/2023 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life8/3/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnderson, William Randolph 747427Agent - Health4/4/20116/30/2013
InactiveAnderson, William Randolph 747427Agent - Life4/4/20116/30/2013
ActiveGraham, Gary Michael 646224Agent - Health8/17/2012 
ActiveGraham, Gary Michael 646224Agent - Life8/17/2012 
InactiveJudah, Charles Grady 593591Agent - Health9/22/20048/21/2018
InactiveJudah, Charles Grady 593591Agent - Life9/22/20048/21/2018
ActiveMarcum, Kimberly Dawn 638480Agent - Health2/17/2011 
ActiveMarcum, Kimberly Dawn 638480Agent - Life2/17/2011 
ActiveMurrow, Daniel Thomas 626370Agent - Health9/16/2008 
ActiveMurrow, Daniel Thomas 626370Agent - Life9/16/2008 
InactiveProffitt, Richard G 384659Agent - Health1/14/20051/31/2007
InactiveProffitt, Richard G 384659Agent - Life1/14/20051/31/2007
InactiveScarboro, David Franklin 316094Agent - Health1/14/20051/31/2007
InactiveScarboro, David Franklin 316094Agent - Life1/14/20051/31/2007
ActiveTomlinson, Kevin Lee 848902Agent - Health9/17/2014 
ActiveTomlinson, Kevin Lee 848902Agent - Life9/17/2014 
ActiveWilliams, Gary K 312293Agent - Health9/16/2008 
ActiveWilliams, Gary K 312293Agent - Life9/16/2008 

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