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 6/30/2027
ActiveNon ResidentAgentLife7/19/2006 6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/202504/04/202504/04/2025Yes
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
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/25/20232/12/2025
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/25/20232/12/2025
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 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/31/2025 
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 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/31/2024 
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 
ActiveStandard Insurance Company300185Agent - Health12/26/2024 
ActiveStandard Insurance Company300185Agent - Life12/26/2024 
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 
InactiveTier One Insurance Company301056Agent - Life10/28/202211/1/2024
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 
InactiveDesignated Agent Company Inc.681257Agent - Life12/13/20132/14/2025
InactiveDesignated Agent Company Inc.681257Agent - Health12/13/20132/14/2025
ActiveWiley Long Enterprises Inc649162Agent - Life6/18/2008 
ActiveWiley Long Enterprises Inc649162Agent - Health6/18/2008 

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