DEPARTMENT OF INSURANCE

Affiliations

Name	Mercer (Us) Inc	DOIID	595151	NAIC NPN	652197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/19/2006	3/31/2026
Active	Non Resident	Agent	Life	3/12/2019	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
Active	ACE American Insurance Company	300625	Agent - Health	3/12/2016
Active	AXIS Insurance Company	301290	Agent - Health	8/16/2012
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/21/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/21/2012	1/26/2018
Inactive	CHA HMO, Inc.	300662	Agent - Health	7/22/2005	3/31/2006
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/26/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/4/2004	3/31/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/4/2004	3/31/2006
Active	Federal Insurance Company	301144	Agent - Health	8/17/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/5/2005	3/31/2006
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2005	3/31/2006
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2005	3/31/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/23/2007	5/5/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/23/2007	5/5/2008
Active	Minnesota Life Insurance Company	300488	Agent - Health	1/23/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/23/2007	1/26/2018
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/4/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alvey, Barbara A	306122	Agent - Health	2/6/2009	1/26/2018
Inactive	Alvey, Barbara A	306122	Agent - Life	2/6/2009	1/26/2018
Active	Camaj, Simon	377861	Agent - Health	6/20/2022
Active	Camaj, Simon	377861	Agent - Life	6/20/2022
Denied	Colbert, Brenton	969186	Agent - Health
Denied	Colbert, Brenton	969186	Agent - Life
Denied	Cooney, John M	743306	Agent - Health
Denied	Cooney, John M	743306	Agent - Life
Inactive	Erixon, Deborah Lynn	315604	Agent - Health	12/19/2006	1/26/2009
Inactive	Erixon, Deborah Lynn	315604	Agent - Life	12/19/2006	1/26/2009
Denied	Grant, Elizabeth	724708	Agent - Health
Denied	Grant, Elizabeth	724708	Agent - Life
Denied	Hall, John	963421	Agent - Health
Denied	Hall, John	963421	Agent - Life
Denied	Louie, Steven Bock	688910	Agent - Health
Denied	Louie, Steven Bock	688910	Agent - Life
Inactive	Martens, Gregory J	762435	Agent - Life	3/12/2019	6/20/2022
Active	Mccarthy, Christopher	807322	Agent - Health	1/26/2018
Denied	Mccarthy, Christopher	807322	Agent - Life
Denied	Nicholl, Chad E	737365	Agent - Health
Denied	Nicholl, Chad E	737365	Agent - Life
Denied	Roberts, Martin	904677	Agent - Health
Denied	Roberts, Martin	904677	Agent - Life