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	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