DEPARTMENT OF INSURANCE
Affiliations
NameAgents Marketing Group TheDOIID644935NAIC NPN8320397
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/6/2009 3/31/2027
ActiveNon ResidentAgentLife8/6/2009 3/31/2027
DeniedNon ResidentAgentVariable Life and Variable Annuities   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/02/202501/02/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life11/6/201712/27/2018
ActiveBanner Life Insurance Company301696Agent - Life9/14/2009 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health2/7/2017 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/7/2017 
ActiveColumbus Life Insurance Company301227Agent - Life10/29/2019 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveForethought Life Insurance Company301407Agent - Health8/15/2019 
ActiveForethought Life Insurance Company301407Agent - Life8/15/2019 
ActiveGerber Life Insurance Company300529Agent - Health1/13/2014 
ActiveGerber Life Insurance Company300529Agent - Life1/13/2014 
ActiveLife Insurance Company of the Southwest301867Agent - Health5/13/2020 
ActiveLife Insurance Company of the Southwest301867Agent - Life5/13/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health11/20/2009 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life11/20/2009 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health8/9/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life8/9/2022 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life3/21/2013 
ActivePruco Life Insurance Company300954Agent - Life2/11/2016 
ActiveState Life Insurance Company301497Agent - Health9/27/2010 
ActiveState Life Insurance Company301497Agent - Life9/27/2010 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMassey, Samuel E 558397Agent - Health8/6/2009 
ActiveMassey, Samuel E 558397Agent - Life8/6/2009 
Pending ReplacementRock, Deidre Dover 874180Agent - Health2/7/2017 
Pending ReplacementRock, Deidre Dover 874180Agent - Life2/7/2017 

© Commonwealth of Kentucky. All rights reserved.