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DEPARTMENT OF INSURANCE
Affiliations
Name
National Ins Marketing Brokers LLC
DOIID
619156
NAIC NPN
8561897
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
4/30/2013
3/31/2026
Active
Non Resident
Agent
Health
4/30/2013
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2026
03/31/2026
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Accendo Insurance Company
300312
Agent - Life
4/16/2024
Active
Aetna Health Inc. (PA)
660717
Agent - Health
5/2/2024
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
4/16/2024
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
5/2/2024
Active
Aetna Life Insurance Company
301140
Agent - Health
5/2/2024
Inactive
American National Insurance Company
301861
Agent - Health
5/26/2009
10/18/2012
Inactive
American National Insurance Company
301861
Agent - Life
5/26/2009
10/18/2012
Inactive
Assurity Life Insurance Company
301099
Agent - Health
7/16/2008
1/20/2009
Inactive
Assurity Life Insurance Company
301099
Agent - Life
7/16/2008
1/20/2009
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
4/16/2024
9/11/2024
Active
Colonial Life and Accident Insurance Company
300846
Agent - Health
10/12/2015
Active
Colonial Life and Accident Insurance Company
300846
Agent - Life
10/12/2015
Active
Combined Insurance Company of America
301472
Agent - Health
5/11/2015
Active
Combined Insurance Company of America
301472
Agent - Life
5/11/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
8/19/2011
10/18/2012
Active
Continental American Insurance Company
301700
Agent - Health
8/30/2017
Active
Continental American Insurance Company
301700
Agent - Life
8/30/2017
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
4/16/2024
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
4/16/2024
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
8/19/2011
10/18/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/19/2011
10/18/2012
Inactive
Humana Insurance Company
301104
Agent - Health
8/19/2011
10/18/2012
Inactive
Humana Insurance Company
301104
Agent - Life
8/19/2011
10/18/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/30/2012
10/18/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/30/2012
10/18/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Health
8/19/2011
2/24/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
8/19/2011
2/24/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/29/2015
12/8/2017
Inactive
Kanawha Insurance Company
300127
Agent - Life
10/29/2015
12/8/2017
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
5/26/2009
10/18/2012
Active
National Guardian Life Insurance Company
300596
Agent - Health
6/4/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
9/30/2011
10/18/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
9/30/2011
10/18/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/29/2011
10/18/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/29/2011
10/18/2012
Active
SilverScript Insurance Company
663526
Agent - Health
5/2/2024
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
3/30/2011
1/27/2012
Active
Tier One Insurance Company
301056
Agent - Life
4/8/2024
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/26/2009
10/18/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/26/2009
10/18/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/16/2024
9/11/2024
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
4/16/2024
9/11/2024
Active
Washington National Insurance Company
300587
Agent - Health
3/10/2015
Active
Washington National Insurance Company
300587
Agent - Life
3/10/2015
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Gartner, Trevor R
618818
Agent - Health
3/22/2018
Active
Gartner, Trevor R
618818
Agent - Life
3/22/2018
Inactive
Griebel, Jaylon Scott
565368
Agent - Health
1/5/2006
7/20/2012
Inactive
Griebel, Jaylon Scott
565368
Agent - Life
1/5/2006
7/20/2012
Inactive
Reidy, Michael Timothy
794847
Agent - Health
4/30/2013
3/22/2018
Inactive
Reidy, Michael Timothy
794847
Agent - Life
4/30/2013
3/22/2018
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