DEPARTMENT OF INSURANCE
Affiliations
NameLong III, Wiley PDOIID636230NAIC NPN551001
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/19/2006 6/30/2025
ActiveNon ResidentAgentLife7/19/2006 6/30/2025
* 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
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health5/5/2009 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health5/5/2009 
ActiveAetna Life Insurance Company301140Agent - Life5/5/2009 
InactiveAmerican General Life Insurance Company301585Agent - Health1/30/200810/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life1/30/200810/25/2012
ActiveAmerican Heritage Life Insurance Company300272Agent - Health7/25/2023 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life7/25/2023 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health11/8/200612/2/2010
InactiveAmerican National Life Insurance Company of Texas300912Agent - Life11/8/200612/2/2010
ActiveAmeritas Life Insurance Corporation300126Agent - Health11/28/2021 
ActiveBanner Life Insurance Company301696Agent - Life9/8/2008 
InactiveBerkshire Life Insurance Company of America300983Agent - Health7/2/20217/11/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Life7/2/20217/11/2024
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/12/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health4/21/2020 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health3/6/201312/15/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health7/2/20083/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health7/2/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/2/20087/2/2013
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveDental Concern Inc. (The)301641Agent - Health10/15/2007 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/4/2011 
InactiveGerber Life Insurance Company300529Agent - Health10/6/200912/26/2012
InactiveGerber Life Insurance Company300529Agent - Life10/6/200912/26/2012
InactiveGolden Rule Insurance Company301943Agent - Health8/23/20067/9/2018
InactiveGolden Rule Insurance Company301943Agent - Life8/23/20067/9/2018
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health3/28/201112/26/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life3/28/201112/26/2012
InactiveGuardian Life Insurance Company of America301316Agent - Health7/2/20217/11/2024
InactiveGuardian Life Insurance Company of America301316Agent - Life7/2/20217/11/2024
InactiveHCC Life Insurance Company301827Agent - Health10/21/20146/12/2017
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/2014 
ActiveHumana Health Plan, Inc.300142Agent - Health3/26/2009 
ActiveHumana Insurance Company301104Agent - Health6/6/2007 
ActiveHumana Insurance Company301104Agent - Life6/6/2007 
ActiveHumana Insurance Company of Kentucky300826Agent - Health8/21/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Life8/21/2006 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/15/2017 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/15/2017 
InactiveHumanaDental Insurance Company301457Agent - Health8/21/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life8/21/20065/13/2013
InactiveIndependence American Insurance Company524747Agent - Health7/12/202212/30/2022
InactiveKanawha Insurance Company300127Agent - Health5/7/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/7/201010/22/2015
InactiveLoyal Christian Benefit Association300958Agent - Health10/8/20155/15/2019
InactiveLoyal Christian Benefit Association300958Agent - Life10/23/20141/17/2017
InactiveMedico Corp Life Insurance Company301777Agent - Health4/16/20154/19/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life4/16/20154/19/2018
ActiveMedico Insurance Company301559Agent - Health4/15/2024 
ActiveMedico Insurance Company301559Agent - Life4/15/2024 
InactiveMetropolitan Life Insurance Company301948Agent - Health4/24/201212/17/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life4/24/201212/17/2014
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health2/8/202210/27/2023
InactiveMutual of Omaha Insurance Company301012Agent - Health8/12/200812/26/2012
ActiveNational Health Insurance Company300554Agent - Health10/2/2019 
ActiveNational Health Insurance Company300554Agent - Life10/2/2019 
InactiveOmaha Insurance Company751908Agent - Health4/17/20126/24/2013
InactivePacifiCare Life and Health Insurance Company301304Agent - Health8/13/201011/5/2011
ActivePenn Insurance and Annuity Company300712Agent - Life5/11/2024 
ActivePenn Mutual Life Insurance Company301394Agent - Life5/11/2024 
InactivePennsylvania Life Insurance Company301321Agent - Health11/16/20111/21/2013
ActiveSilverScript Insurance Company663526Agent - Health10/22/2010 
InactiveStandard Life and Accident Insurance Company301534Agent - Health12/17/201512/5/2022
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life2/9/201112/19/2014
ActiveTier One Insurance Company301056Agent - Health10/28/2022 
ActiveTier One Insurance Company301056Agent - Life10/28/2022 
InactiveTime Insurance Company300683Agent - Health8/29/200611/22/2019
InactiveTime Insurance Company300683Agent - Life8/29/200611/22/2019
InactiveTransamerica Life Insurance Company300571Agent - Health5/18/20239/15/2023
InactiveTransamerica Life Insurance Company300571Agent - Life5/18/20239/15/2023
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life7/22/200810/1/2008
InactiveUnified Life Insurance Company543169Agent - Health10/3/201612/12/2017
InactiveUnited States Fire Insurance Company582240Agent - Health7/6/202112/27/2023
InactiveUnited World Life Insurance Company300532Agent - Health8/12/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/12/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/12/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/13/2010 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health11/12/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life11/12/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/13/201012/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/29/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health5/12/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health3/8/2019 
InactiveWorld Insurance Company300396Agent - Health4/14/20106/21/2010
InactiveWorld Insurance Company300396Agent - Life4/14/20106/21/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health6/28/2023 
ActiveDesignated Agent Company Inc.681257Agent - Life12/13/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 
ActiveWiley Long Enterprises Inc649162Agent - Life6/18/2008 
ActiveWiley Long Enterprises Inc649162Agent - Health6/18/2008 

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