DEPARTMENT OF INSURANCE
Affiliations
NameEnrollment First, IncDOIID644197NAIC NPN8381615
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/15/2006 3/31/2026
ActiveNon ResidentAgentLife11/15/2006 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/23/20102/14/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/23/20102/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Health12/8/20114/21/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/8/20114/21/2017
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health3/13/201212/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life3/13/201212/31/2012
ActiveAmerican Heritage Life Insurance Company300272Agent - Health3/10/2020 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life3/10/2020 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/26/201312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health11/26/201312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life11/26/201312/16/2024
InactiveAssurity Life Insurance Company301099Agent - Health8/15/202412/9/2024
InactiveAssurity Life Insurance Company301099Agent - Life8/15/202412/9/2024
ActiveBoston Mutual Life Insurance Company300143Agent - Health5/8/2020 
ActiveBoston Mutual Life Insurance Company300143Agent - Life5/8/2020 
InactiveConnecticut General Life Insurance Company301333Agent - Health2/29/20126/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life2/29/20126/11/2014
InactiveDental Concern Inc. (The)301641Agent - Health11/9/201212/10/2018
InactiveGolden Rule Insurance Company301943Agent - Health12/24/201312/13/2014
InactiveGolden Rule Insurance Company301943Agent - Life12/24/201312/13/2014
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/6/201512/10/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/6/20152/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health11/9/201212/10/2018
InactiveHumana Insurance Company301104Agent - Health1/6/201512/10/2018
InactiveHumana Insurance Company301104Agent - Life1/6/201512/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/9/201212/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/9/201212/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health1/6/201512/10/2018
InactiveKanawha Insurance Company300127Agent - Health11/9/20125/4/2017
InactiveKanawha Insurance Company300127Agent - Life11/9/20125/4/2017
ActiveNational Guardian Life Insurance Company300596Agent - Health7/8/2019 
ActiveNational Health Insurance Company300554Agent - Health10/4/2022 
ActiveNational Health Insurance Company300554Agent - Life10/4/2022 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health10/27/2009 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health4/22/201612/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/22/201612/26/2018
InactiveTime Insurance Company300683Agent - Health3/3/201411/15/2019
InactiveTime Insurance Company300683Agent - Life3/3/201411/15/2019
ActiveTransamerica Life Insurance Company300571Agent - Health6/5/2007 
ActiveTransamerica Life Insurance Company300571Agent - Life6/5/2007 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health6/5/200710/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life6/5/200710/1/2008
ActiveWellfleet Insurance Company300542Agent - Health6/17/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBarton, David K 844064Agent - Health  
DeniedBarton, David K 844064Agent - Life  
InactiveCole, Roger 828125Agent - Health1/7/201412/31/2016
InactiveCole, Roger 828125Agent - Life1/7/201412/31/2016
InactiveGriffin, Latravia C 853906Agent - Health8/4/20152/28/2017
InactiveGriffin, Latravia C 853906Agent - Life8/4/20152/28/2017
InactiveHightower, Cynthia D 787855Agent - Health1/7/20144/30/2016
InactiveHightower, Cynthia D 787855Agent - Life1/7/20144/30/2016
InactiveHitt, Angela Kay 717728Agent - Health8/4/20158/31/2017
InactiveHitt, Angela Kay 717728Agent - Life8/4/20158/31/2017
InactiveJones, Marcia Rebecca 848178Agent - Health8/4/20152/28/2018
InactiveJones, Marcia Rebecca 848178Agent - Life8/4/20152/28/2018
InactiveKampas, Leon G 827367Agent - Health1/7/20143/31/2015
InactiveKampas, Leon G 827367Agent - Life1/7/20143/31/2015
ActiveKing, Lashaunda 1084337Agent - Health6/23/2020 
DeniedKing, Lashaunda 1084337Agent - Life  
ActiveMirts, Hazen Jason 615788Agent - Health11/15/2006 
ActiveMirts, Hazen Jason 615788Agent - Life11/15/2006 
InactivePhillips, Mildred Denise 827312Agent - Health1/7/201412/20/2014
InactivePhillips, Mildred Denise 827312Agent - Life1/7/201412/20/2014
InactiveSlaton, Richard D 828844Agent - Health1/7/20145/31/2018
InactiveSlaton, Richard D 828844Agent - Life1/7/20145/31/2018

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