DEPARTMENT OF INSURANCE
Affiliations
NameExcelsior Insurance Brokerage, IncDOIID600265NAIC NPN7890560
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/21/2004 3/31/2026
ActiveNon ResidentAgentHealth12/21/2004 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
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health1/28/2010 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/28/2010 
ActiveAetna Life Insurance Company301140Agent - Life1/28/2010 
ActiveAll Savers Insurance Company301940Agent - Health4/5/2021 
ActiveAll Savers Insurance Company301940Agent - Life4/5/2021 
InactiveAmerican Republic Corp Insurance Company300615Agent - Health11/10/200912/8/2010
InactiveAmerican Republic Corp Insurance Company300615Agent - Life11/10/200912/8/2010
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/3/2017 
InactiveAnthem Life Insurance Company301209Agent - Health5/3/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/3/20174/15/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Health9/5/20172/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life9/5/20172/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health11/24/20103/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health11/24/20106/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/24/20106/26/2013
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveDental Concern Inc. (The)301641Agent - Health3/21/2009 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/26/2016 
ActiveGolden Rule Insurance Company301943Agent - Health4/10/2008 
ActiveGolden Rule Insurance Company301943Agent - Life4/10/2008 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health4/29/20142/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health5/26/2005 
ActiveHumana Insurance Company301104Agent - Health5/26/2005 
InactiveHumana Insurance Company301104Agent - Life5/26/20051/18/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health5/23/2005 
ActiveHumana Insurance Company of Kentucky300826Agent - Life5/23/2005 
InactiveHumanaDental Insurance Company301457Agent - Health3/2/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/2/201212/19/2012
InactiveKanawha Insurance Company300127Agent - Health5/13/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/13/201010/22/2015
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health6/16/2025 
ActiveNational Health Insurance Company300554Agent - Health12/6/2022 
ActiveNational Health Insurance Company300554Agent - Life12/6/2022 
ActivePrincipal Life Insurance Company300129Agent - Health8/2/2005 
ActivePrincipal Life Insurance Company300129Agent - Life8/2/2005 
ActiveSecurian Life Insurance Company300757Agent - Health11/29/2005 
ActiveSecurian Life Insurance Company300757Agent - Life11/29/2005 
InactiveSecurity Life Insurance Company of America300936Agent - Health8/2/201312/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life8/2/201312/31/2016
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health5/10/20071/20/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life5/10/20071/20/2010
InactiveTime Insurance Company300683Agent - Health4/20/200711/15/2019
InactiveTime Insurance Company300683Agent - Life4/20/200711/15/2019
InactiveTransamerica Life Insurance Company300571Agent - Health7/11/20188/19/2021
InactiveTransamerica Life Insurance Company300571Agent - Life7/11/20188/19/2021
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/30/201810/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/30/201810/1/2020
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/9/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/1/2011 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20195/3/2021
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/9/2021 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life7/9/2021 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/10/2024 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Life7/9/2021 
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/22/20165/3/2021
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/20222/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/20222/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNicol, Thomas John 594979Agent - Health12/21/2004 
ActiveNicol, Thomas John 594979Agent - Life12/21/2004 

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