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	3/31/2028
Active	Non Resident	Agent	Health	4/30/2013	3/31/2028
* 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	Accendo Insurance Company	300312	Agent - Life	4/16/2024	12/19/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/2/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/16/2024	12/19/2025
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
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/16/2024	12/19/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/16/2024	12/19/2025
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	NGL 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