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	Health	9/14/2005		3/31/2027
Active	Resident	Agent	Life	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.

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