DEPARTMENT OF INSURANCE

Affiliations

Name	COSTELLOW MANAGEMENT INC	DOIID	614755	NAIC NPN	8580859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/14/2005		3/31/2027
Active	Resident	Agent	Health	9/14/2005		3/31/2027
Inactive	Resident	Agent	Casualty	9/22/2006	3/28/2009
Inactive	Resident	Agent	Property	9/22/2006	3/28/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	11/28/2006	10/12/2007
Inactive	AIG Assurance Company	300897	Agent - Property	11/28/2006	10/12/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/15/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/15/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	11/15/2018
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	2/14/2014
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	2/14/2014
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	3/24/2011	2/28/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	3/27/2011	12/20/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/27/2011	12/20/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/31/2017	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/14/2021	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/25/2019	12/12/2024
Active	Aspida Life Insurance Company	301934	Agent - Life	1/13/2023
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/14/2012	8/14/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/1/2018	12/3/2021
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	10/8/2013	7/3/2015
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	10/8/2013	7/3/2015
Inactive	Augustar Life Insurance Company	301816	Agent - Health	10/8/2013	7/3/2015
Inactive	Augustar Life Insurance Company	301816	Agent - Life	10/8/2013	7/3/2015
Inactive	Bankers Life Insurance Company	301784	Agent - Life	6/1/2013	7/23/2014
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/18/2018	12/21/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/17/2025
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	2/24/2012	12/28/2012
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	10/22/2013	5/9/2018
Inactive	Columbus Life Insurance Company	301227	Agent - Life	4/28/2018	11/11/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/11/2021	12/12/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	12/16/2024
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/28/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/28/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	6/28/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	6/28/2010	10/1/2010
Active	Delaware Life Insurance Company	301256	Agent - Life	8/29/2018
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	12/21/2011	3/21/2014
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	10/8/2007	3/10/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/24/2012	4/8/2020
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/15/2018
Inactive	Forethought Life Insurance Company	301407	Agent - Health	4/29/2011	7/9/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/29/2011	7/9/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/2/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/2/2010	12/26/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/28/2006	10/12/2007
Inactive	Granite State Insurance Company	300818	Agent - Property	11/28/2006	10/12/2007
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/26/2019	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2019	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2019	12/12/2024
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	10/12/2007
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	10/12/2007
Inactive	Independent Order of Foresters	300743	Agent - Life	12/9/2010	12/28/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/22/2018	2/6/2025
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	10/4/2005	1/25/2007
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	10/4/2005	1/25/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2011
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/7/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	11/7/2017	12/21/2018
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/17/2012	12/1/2016
Inactive	Midland National Life Insurance Company	300923	Agent - Health	1/31/2012	3/1/2017
Inactive	Midland National Life Insurance Company	300923	Agent - Life	1/31/2012	3/1/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/21/2011	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/16/2011	2/20/2015
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	10/16/2011	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	3/18/2011	1/23/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	3/18/2011	1/23/2012
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/3/2018
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/3/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/19/2011	1/31/2012
Inactive	Oxford Life Insurance Company	301079	Agent - Health	7/14/2010	5/31/2016
Inactive	Oxford Life Insurance Company	301079	Agent - Life	7/14/2010	5/31/2016
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/14/2011	11/17/2016
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/6/2011	11/3/2011
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/29/2006	3/12/2007
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/29/2006	3/12/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/19/2006	3/27/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/19/2006	3/27/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/19/2006	3/27/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/19/2006	3/27/2009
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/19/2017	9/18/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/19/2017	9/18/2018
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	12/22/2011	5/15/2013
Active	Security Benefit Life Insurance Company	300583	Agent - Life	10/12/2011
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Inactive	Standard Life and Casualty Insurance Company	301699	Agent - Health	4/15/2015	1/8/2016
Active	State Life Insurance Company	301497	Agent - Health	4/29/2018
Active	State Life Insurance Company	301497	Agent - Life	4/29/2018
Active	Symetra Life Insurance Company	301691	Agent - Health	10/7/2019
Active	Symetra Life Insurance Company	301691	Agent - Life	10/7/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/4/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/21/2017	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/21/2017	10/1/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/19/2006	3/27/2009
Inactive	United Financial Casualty Company	301886	Agent - Property	10/19/2006	3/27/2009
Inactive	United National Life Insurance Company	844837	Agent - Health	9/25/2018	12/27/2024
Inactive	United National Life Insurance Company	844837	Agent - Life	9/25/2018	12/27/2024
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	10/12/2005	12/31/2012
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	10/12/2005	12/31/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/21/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/21/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/3/2020	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/3/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/3/2020	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/6/2011	1/7/2013
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/3/2020	2/17/2025
Inactive	Washington National Insurance Company	300587	Agent - Health	11/29/2017	5/21/2021
Inactive	Washington National Insurance Company	300587	Agent - Life	11/29/2017	5/21/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/3/2022	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/3/2022	9/20/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Costellow, Brittany Danielle	848514	Agent - Health	11/14/2018
Active	Costellow, Brittany Danielle	848514	Agent - Life	11/14/2018
Active	Costellow, Caleb Allen	636588	Agent - Health	2/1/2007
Active	Costellow, Caleb Allen	636588	Agent - Life	3/15/2010
Inactive	Costellow, Glenda D	370200	Agent - Health	3/15/2010	11/1/2022
Inactive	Costellow, Glenda D	370200	Agent - Life	9/14/2005	11/1/2022
Inactive	Costellow, Wayburn Allen	347664	Agent - Casualty	9/21/2006	3/27/2009
Active	Costellow, Wayburn Allen	347664	Agent - Health	9/14/2005
Active	Costellow, Wayburn Allen	347664	Agent - Life	9/14/2005
Inactive	Costellow, Wayburn Allen	347664	Agent - Property	9/21/2006	3/27/2009
Inactive	Lacy, Kristy Lynn	579702	Agent - Health	2/1/2007	11/30/2009
Inactive	Lacy, Kristy Lynn	579702	Agent - Life	2/1/2007	11/30/2009
Inactive	McCoy, Bonita Faye	319743	Agent - Health	5/8/2009	5/1/2023
Inactive	McCoy, Bonita Faye	319743	Agent - Life	10/17/2005	5/1/2023
Inactive	Peace, Joshua Andrew	1084132	Agent - Health	12/23/2020	9/1/2024
Inactive	Peace, Joshua Andrew	1084132	Agent - Life	12/23/2020	9/1/2024
Inactive	Robinson, Jeremiah Ray	574094	Agent - Health	10/17/2005	1/31/2006
Inactive	Shumate, Reginald L	743237	Agent - Health	6/10/2011	6/1/2013
Inactive	Shumate, Reginald L	743237	Agent - Life	6/10/2011	6/1/2013