DEPARTMENT OF INSURANCE
Affiliations
NameSouthern Insurance Services, LLCDOIID626366NAIC NPN1632681
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/20/2006 3/31/2026
ActiveNon ResidentAgentLife2/20/2006 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health5/12/2025 
InactiveAccendo Insurance Company300312Agent - Health7/25/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life7/25/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health7/2/2011 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health7/2/2011 
ActiveAetna Life Insurance Company301140Agent - Life7/2/2011 
InactiveAmerican Continental Insurance Company643130Agent - Health4/29/201011/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life4/29/201011/12/2014
ActiveAmerican National Insurance Company301861Agent - Life5/6/2021 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health10/25/20169/1/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/16/201912/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life4/14/201512/21/2018
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/28/2010 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health9/28/20104/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life9/28/20104/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveBankers Fidelity Assurance Company554627Agent - Health8/11/20219/29/2021
ActiveBankers Fidelity Life Insurance Company300193Agent - Health6/2/2025 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life6/2/2025 
ActiveCHA HMO, Inc.300662Agent - Health8/4/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/7/2014 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health6/27/2025 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health1/26/20212/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life8/19/20212/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health1/2/20093/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health11/25/2019 
InactiveCompBenefits Insurance Company301864Agent - Life1/2/20096/26/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/2/20086/11/2014
InactiveConseco Health Insurance Company301725Agent - Health6/23/200810/1/2010
InactiveConseco Health Insurance Company301725Agent - Life6/23/200810/1/2010
InactiveConseco Insurance Company301202Agent - Health4/4/200710/1/2010
InactiveConseco Insurance Company301202Agent - Life4/4/200710/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
ActiveDental Concern Inc. (The)301641Agent - Health10/3/2007 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/26/2024 
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
ActiveEssence Healthcare, Inc.657425Agent - Health11/3/2022 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/9/20113/14/2012
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/28/2013 
InactiveGarden State Life Insurance Company300610Agent - Health2/8/20214/5/2022
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
InactiveGolden Rule Insurance Company301943Agent - Health11/14/20141/10/2018
InactiveGolden Rule Insurance Company301943Agent - Life11/14/20141/10/2018
ActiveGuaranty Income Life Insurance Company552451Agent - Health8/25/2022 
ActiveGuaranty Income Life Insurance Company552451Agent - Life8/25/2022 
ActiveHealthSpring National Health Insurance Company300235Agent - Health5/24/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/22/2018 
ActiveHumana Health Plan, Inc.300142Agent - Health2/23/2006 
ActiveHumana Insurance Company301104Agent - Health2/23/2006 
ActiveHumana Insurance Company301104Agent - Life2/23/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Health2/23/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Life2/23/2006 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/24/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/30/2016 
InactiveHumanaDental Insurance Company301457Agent - Health5/30/20072/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life5/30/20072/23/2012
InactiveKanawha Insurance Company300127Agent - Health7/18/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/6/201712/8/2017
InactiveLifeSecure Insurance Company301629Agent - Health5/19/20081/13/2023
InactiveLifeSecure Insurance Company301629Agent - Life7/12/200711/27/2012
ActiveLoyal American Life Insurance Company301172Agent - Health10/15/2021 
ActiveLoyal American Life Insurance Company301172Agent - Life10/15/2021 
InactiveLumico Life Insurance Company300354Agent - Health1/6/20212/17/2023
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health12/23/2021 
ActiveMedco Containment Life Insurance Company301557Agent - Health11/7/2023 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/18/2024 
ActiveMutual of Omaha Insurance Company301012Agent - Health11/29/2023 
ActiveNassau Life Insurance Company of Kansas300667Agent - Health9/1/2022 
ActiveNational Health Insurance Company300554Agent - Health1/3/2023 
ActiveNational Health Insurance Company300554Agent - Life1/3/2023 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/29/20084/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life10/29/20087/17/2012
InactivePhiladelphia American Life Insurance Company300178Agent - Health6/26/200612/12/2006
InactivePhiladelphia American Life Insurance Company300178Agent - Life6/26/200612/12/2006
InactiveReserve National Insurance Company301073Agent - Health10/9/20155/24/2021
InactiveReserve National Insurance Company301073Agent - Life10/9/20155/24/2021
InactiveShenandoah Life Insurance Company300130Agent - Health8/14/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life8/14/20063/31/2009
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/12/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveTexas Life Insurance Company300345Agent - Life10/1/200912/17/2012
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
ActiveUnited World Life Insurance Company300532Agent - Health11/29/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health11/29/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life11/29/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/9/2016 
ActiveUnitedHealthcare Insurance Company300946Agent - Life10/29/2008 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/14/201611/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/14/201611/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/9/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/9/2016 
ActiveWashington National Insurance Company300587Agent - Health10/1/2010 
ActiveWashington National Insurance Company300587Agent - Life10/1/2010 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/5/2022 
InactiveWorld Insurance Company300396Agent - Health7/28/20095/17/2010
InactiveWorld Insurance Company300396Agent - Life7/28/20095/17/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGilliam, Mark Quinn 348603Agent - Health2/20/2006 
ActiveGilliam, Mark Quinn 348603Agent - Life2/20/2006 

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