DEPARTMENT OF INSURANCE
Affiliations
NameSumitomo Life Insurance Agency America, Inc.DOIID612167NAIC NPN957229
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife7/11/20053/31/2017 
InactiveNon ResidentAgentHealth7/11/20053/31/2017 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/22/20094/15/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/22/20094/15/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/14/200811/3/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/14/200810/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health1/14/200811/3/2016
InactiveAnthem Life Insurance Company301209Agent - Life1/14/200811/3/2016
InactiveBaptist Health Plan, Inc.300157Agent - Health10/28/20103/31/2017
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/29/201512/23/2015
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/29/201512/23/2015
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health6/2/20083/31/2017
InactiveCIGNA Health & Life Insurance Company301783Agent - Health1/26/20123/31/2017
InactiveCIGNA Health & Life Insurance Company301783Agent - Life1/26/20123/31/2017
InactiveColonial Life and Accident Insurance Company300846Agent - Health10/22/20132/7/2017
InactiveColonial Life and Accident Insurance Company300846Agent - Life10/22/20132/7/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health2/5/20107/16/2015
InactiveCompBenefits Insurance Company301864Agent - Health2/3/20106/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life2/3/20106/26/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health6/2/20086/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life6/2/20086/11/2014
InactiveDelaware American Life Insurance Company301639Agent - Life4/17/20143/31/2017
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20107/16/2015
InactiveEmpower Annuity Insurance Company of America300259Agent - Health11/17/20061/3/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life11/17/200610/24/2014
InactiveGerber Life Insurance Company300529Agent - Health6/14/20118/25/2015
InactiveGerber Life Insurance Company300529Agent - Life6/14/20118/25/2015
InactiveGuardian Life Insurance Company of America301316Agent - Health4/29/201512/23/2015
InactiveGuardian Life Insurance Company of America301316Agent - Life4/29/201512/23/2015
InactiveHartford Life Group Insurance Company301708Agent - Health8/25/200512/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life8/25/200512/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/25/20053/31/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/25/20053/31/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/16/20157/16/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/21/20137/16/2015
InactiveHumana Health Plan, Inc.300142Agent - Health7/31/20067/16/2015
InactiveHumana Insurance Company301104Agent - Health3/21/20067/16/2015
InactiveHumana Insurance Company301104Agent - Life3/21/20067/16/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/21/20067/16/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/21/20067/16/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health2/16/20157/16/2015
InactiveHumanaDental Insurance Company301457Agent - Health10/3/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life10/3/201212/19/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health12/5/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life12/5/20057/2/2007
InactiveKanawha Insurance Company300127Agent - Health9/25/20127/16/2015
InactiveKanawha Insurance Company300127Agent - Life9/25/20127/16/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/20076/14/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/20076/14/2016
InactiveMetropolitan Life Insurance Company301948Agent - Health1/11/20073/31/2017
InactiveMetropolitan Life Insurance Company301948Agent - Life1/11/20073/31/2017
InactiveNew York Life Insurance Company300431Agent - Health12/18/20124/1/2015
InactiveNew York Life Insurance Company300431Agent - Life12/18/20124/1/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health1/2/20134/1/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/2/20134/1/2015
InactiveNippon Life Insurance Company of America300446Agent - Health5/29/20133/31/2017
InactiveNippon Life Insurance Company of America300446Agent - Life5/29/20133/31/2017
InactivePrincipal Life Insurance Company300129Agent - Health10/27/20053/31/2017
InactivePrincipal Life Insurance Company300129Agent - Life10/27/20053/31/2017
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/5/201111/10/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/5/201111/10/2015
InactivePrudential Insurance Company of America300784Agent - Health8/24/20078/7/2015
InactivePrudential Insurance Company of America300784Agent - Life8/24/20078/7/2015
InactiveReliance Standard Life Insurance Company300584Agent - Health4/21/20143/31/2017
InactiveReliance Standard Life Insurance Company300584Agent - Life4/21/20143/31/2017
InactiveUNUM Life Insurance Company of America300817Agent - Health4/5/201111/10/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life4/5/201111/10/2015
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health3/27/20133/31/2017
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/1/201412/1/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/1/201412/1/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/1/201412/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/1/201412/1/2016
InactiveVision Service Plan Insurance Company300526Agent - Health7/11/20113/31/2017
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanschbach, Angela M 752338Agent - Health1/24/20123/31/2017
InactiveBanschbach, Angela M 752338Agent - Life1/24/20123/31/2017
DeniedDean, Brian J 324514Agent - Health  
DeniedDean, Brian J 324514Agent - Life  
DeniedFukuda, Kei 770945Agent - Health  
DeniedFukuda, Kei 770945Agent - Life  
InactiveKojima, Junko 545951Agent - Health7/23/20096/23/2015
InactiveKojima, Junko 545951Agent - Life7/23/20096/23/2015
InactiveMcQuown, Karen R 344600Agent - Health3/11/200812/21/2011
InactiveMcQuown, Karen R 344600Agent - Life3/11/200812/21/2011
InactiveMiyamoto, Yukiko 666419Agent - Health2/11/20084/27/2010
InactiveMiyamoto, Yukiko 666419Agent - Life2/11/20084/27/2010
InactiveMizushima, Chisa 668885Agent - Health2/29/20084/30/2010
InactiveMizushima, Chisa 668885Agent - Life2/29/20084/30/2010
InactiveNagashima, Nobuyuki 594660Agent - Health7/31/200910/21/2010
InactiveNagashima, Nobuyuki 594660Agent - Life7/31/200910/21/2010
InactiveSweeney, Brian E 376748Agent - Health7/11/20053/31/2017
InactiveSweeney, Brian E 376748Agent - Life7/11/20053/31/2017
InactiveTabata, Hideki 709844Agent - Health2/17/20101/24/2012
InactiveTabata, Hideki 709844Agent - Life2/17/20101/24/2012
InactiveToplin, John S 735619Agent - Health9/23/20103/31/2017
InactiveToplin, John S 735619Agent - Life9/23/20103/31/2017

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