DEPARTMENT OF INSURANCE
Affiliations
NameNational Ins Marketing Brokers LLCDOIID619156NAIC NPN8561897
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/30/2013 3/31/2026
ActiveNon ResidentAgentHealth4/30/2013 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life4/16/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health5/2/2024 
ActiveAetna Health and Life Insurance Company300523Agent - Health4/16/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health5/2/2024 
ActiveAetna Life Insurance Company301140Agent - Health5/2/2024 
InactiveAmerican National Insurance Company301861Agent - Health5/26/200910/18/2012
InactiveAmerican National Insurance Company301861Agent - Life5/26/200910/18/2012
InactiveAssurity Life Insurance Company301099Agent - Health7/16/20081/20/2009
InactiveAssurity Life Insurance Company301099Agent - Life7/16/20081/20/2009
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/16/20249/11/2024
ActiveColonial Life and Accident Insurance Company300846Agent - Health10/12/2015 
ActiveColonial Life and Accident Insurance Company300846Agent - Life10/12/2015 
ActiveCombined Insurance Company of America301472Agent - Health5/11/2015 
ActiveCombined Insurance Company of America301472Agent - Life5/11/2015 
InactiveCompBenefits Dental, Inc.591692Agent - Health8/19/201110/18/2012
ActiveContinental American Insurance Company301700Agent - Health8/30/2017 
ActiveContinental American Insurance Company301700Agent - Life8/30/2017 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/16/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life4/16/2024 
InactiveDental Concern Inc. (The)301641Agent - Health8/19/201110/18/2012
InactiveHumana Health Plan, Inc.300142Agent - Health8/19/201110/18/2012
InactiveHumana Insurance Company301104Agent - Health8/19/201110/18/2012
InactiveHumana Insurance Company301104Agent - Life8/19/201110/18/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/201210/18/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/201210/18/2012
InactiveHumanaDental Insurance Company301457Agent - Health8/19/20112/24/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/19/20112/24/2012
InactiveKanawha Insurance Company300127Agent - Health10/29/201512/8/2017
InactiveKanawha Insurance Company300127Agent - Life10/29/201512/8/2017
InactiveMutual of Omaha Insurance Company301012Agent - Health5/26/200910/18/2012
ActiveNational Guardian Life Insurance Company300596Agent - Health6/4/2024 
InactiveNationwide Life Insurance Company300495Agent - Health9/30/201110/18/2012
InactiveNationwide Life Insurance Company300495Agent - Life9/30/201110/18/2012
InactivePruco Life Insurance Company300954Agent - Health11/29/201110/18/2012
InactivePruco Life Insurance Company300954Agent - Life11/29/201110/18/2012
ActiveSilverScript Insurance Company663526Agent - Health5/2/2024 
InactiveStandard Life and Accident Insurance Company301534Agent - Health3/30/20111/27/2012
ActiveTier One Insurance Company301056Agent - Life4/8/2024 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/26/200910/18/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/26/200910/18/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/16/20249/11/2024
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/16/20249/11/2024
ActiveWashington National Insurance Company300587Agent - Health3/10/2015 
ActiveWashington National Insurance Company300587Agent - Life3/10/2015 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGartner, Trevor R 618818Agent - Health3/22/2018 
ActiveGartner, Trevor R 618818Agent - Life3/22/2018 
InactiveGriebel, Jaylon Scott 565368Agent - Health1/5/20067/20/2012
InactiveGriebel, Jaylon Scott 565368Agent - Life1/5/20067/20/2012
InactiveReidy, Michael Timothy 794847Agent - Health4/30/20133/22/2018
InactiveReidy, Michael Timothy 794847Agent - Life4/30/20133/22/2018

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