DEPARTMENT OF INSURANCE
Affiliations
NameEmployee Benefit Assoc IncDOIID648452NAIC NPN9062518
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/29/2007 3/31/2025
ActiveResidentAgentHealth1/29/2007 3/31/2025
InactiveResidentAgentProperty2/13/20156/1/2023 
InactiveResidentAgentCasualty2/13/20156/1/2023 
WithdrawnResidentAgentPersonal Lines   
* 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
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health11/21/200712/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health11/9/20176/30/2022
InactiveAetna Life Insurance Company301140Agent - Health11/9/20176/30/2022
InactiveAetna Life Insurance Company301140Agent - Life11/9/20176/30/2022
ActiveAll Savers Insurance Company301940Agent - Health8/10/2016 
ActiveAll Savers Insurance Company301940Agent - Life8/10/2016 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/18/2015 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/18/2015 
ActiveAmerican Heritage Life Insurance Company300272Agent - Health8/24/2014 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life8/24/2014 
ActiveAmerican United Life Insurance Company300498Agent - Health2/19/2007 
ActiveAmerican United Life Insurance Company300498Agent - Life2/19/2007 
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/31/201610/26/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/201610/26/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/12/2007 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/31/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health2/15/2007 
ActiveAnthem Life Insurance Company301209Agent - Life2/15/2007 
InactiveAssurity Life Insurance Company301099Agent - Health5/26/201512/18/2018
InactiveAssurity Life Insurance Company301099Agent - Life5/26/201512/18/2018
InactiveAugustar Life Assurance Corporation301113Agent - Health2/8/200712/26/2018
InactiveAugustar Life Assurance Corporation301113Agent - Life2/8/200712/26/2018
InactiveAugustar Life Insurance Company301816Agent - Health2/8/200712/26/2018
InactiveAugustar Life Insurance Company301816Agent - Life2/8/200712/26/2018
ActiveBanner Life Insurance Company301696Agent - Life10/8/2012 
InactiveBaptist Health Plan, Inc.300157Agent - Health2/9/20073/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Life2/9/20073/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/20159/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/20159/24/2018
InactiveCMD Health, Inc.702047Agent - Health12/4/20093/31/2013
ActiveCincinnati Life Insurance Company (The)300601Agent - Health3/7/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life3/7/2016 
ActiveColonial Life and Accident Insurance Company300846Agent - Health1/25/2023 
ActiveColonial Life and Accident Insurance Company300846Agent - Life1/25/2023 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/200812/13/2016
ActiveCompBenefits Insurance Company301864Agent - Health9/3/2020 
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health10/21/2013 
ActiveCompanion Life Insurance Company300191Agent - Life10/21/2013 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health8/31/2022 
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveCoventry Health and Life Insurance Company301771Agent - Health11/9/20176/15/2022
ActiveDental Care Plus Inc.301495Agent - Health12/1/2015 
ActiveDental Concern Inc. (The)301641Agent - Health10/27/2008 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Health3/14/2023 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Life3/14/2023 
ActiveFidelity Security Life Insurance Company300466Agent - Health1/23/2018 
ActiveFidelity Security Life Insurance Company300466Agent - Life1/23/2018 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health9/3/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life9/3/200910/4/2012
ActiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/10/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Health4/10/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/10/2015 
ActiveHCC Life Insurance Company301827Agent - Health12/10/2015 
ActiveHCC Life Insurance Company301827Agent - Life12/10/2015 
ActiveHartford Life and Accident Insurance Company300878Agent - Health3/5/2007 
ActiveHartford Life and Accident Insurance Company300878Agent - Life3/5/2007 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/26/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/26/202112/13/2022
ActiveHumana Health Plan, Inc.300142Agent - Health2/15/2007 
ActiveHumana Insurance Company301104Agent - Health1/17/2023 
InactiveHumana Insurance Company301104Agent - Life2/15/200712/13/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health2/15/2007 
ActiveHumana Insurance Company of Kentucky300826Agent - Life2/15/2007 
InactiveHumana Medical Plan, Inc.801568Agent - Health1/26/202112/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/26/202112/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health3/30/20125/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life3/30/20125/13/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/7/20077/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/7/20077/2/2007
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/31/2016 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/31/2016 
InactiveKanawha Insurance Company300127Agent - Health6/19/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life6/19/20088/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health9/26/201310/29/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/30/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/30/2007 
ActiveMetropolitan Life Insurance Company301948Agent - Health10/28/2015 
ActiveMetropolitan Life Insurance Company301948Agent - Life10/28/2015 
InactiveMutual of Omaha Insurance Company301012Agent - Health6/28/20071/26/2014
ActiveNational Guardian Life Insurance Company300596Agent - Health8/27/2019 
InactiveOmaha Insurance Company751908Agent - Health5/10/20121/26/2014
ActivePacific Life Insurance Company301848Agent - Life12/13/2021 
ActivePan-American Life Insurance Company301530Agent - Health6/9/2020 
ActivePan-American Life Insurance Company301530Agent - Life6/9/2020 
ActivePrincipal Life Insurance Company300129Agent - Health2/16/2007 
ActivePrincipal Life Insurance Company300129Agent - Life2/16/2007 
ActivePrincipal National Life Insurance Company301926Agent - Life11/20/2018 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/14/201810/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/14/201810/8/2021
InactivePruco Life Insurance Company300954Agent - Health2/12/200912/23/2014
InactivePruco Life Insurance Company300954Agent - Life9/25/201512/22/2016
ActivePrudential Insurance Company of America300784Agent - Health5/10/2007 
ActivePrudential Insurance Company of America300784Agent - Life5/10/2007 
ActiveQBE Insurance Corporation300515Agent - Health1/7/2020 
InactiveReliaStar Life Insurance Company301712Agent - Health7/16/20088/21/2010
InactiveReliaStar Life Insurance Company301712Agent - Life7/16/20088/21/2010
ActiveReliance Standard Life Insurance Company300584Agent - Health11/24/2015 
ActiveReliance Standard Life Insurance Company300584Agent - Life11/24/2015 
InactiveSecurity Life Insurance Company of America300936Agent - Health10/18/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life10/18/201612/31/2016
InactiveSecurity Life of Denver Insurance Company300648Agent - Health7/16/20088/21/2010
InactiveSecurity Life of Denver Insurance Company300648Agent - Life7/16/20088/21/2010
InactiveShenandoah Life Insurance Company300130Agent - Health2/19/20073/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life2/19/20073/31/2009
ActiveStandard Insurance Company300185Agent - Health5/24/2016 
ActiveStandard Insurance Company300185Agent - Life5/24/2016 
ActiveStandard Life and Accident Insurance Company301534Agent - Health10/11/2016 
ActiveSun Life Assurance Company of Canada301811Agent - Health6/22/2009 
ActiveSun Life Assurance Company of Canada301811Agent - Life6/22/2009 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health2/15/20078/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life2/15/20078/22/2011
InactiveTime Insurance Company300683Agent - Health12/22/201411/15/2019
InactiveTime Insurance Company300683Agent - Life12/22/201411/15/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health2/14/201810/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life2/14/201810/8/2021
InactiveUnion Security Insurance Company301844Agent - Health2/15/20071/11/2015
InactiveUnion Security Insurance Company301844Agent - Life2/15/20071/11/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/28/20071/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/28/20071/26/2014
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/15/2007 
ActiveUnitedHealthcare Insurance Company300946Agent - Life2/15/2007 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/15/2007 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/12/2021 
ActiveVision Service Plan Insurance Company300526Agent - Health6/16/2020 
InactiveWashington National Insurance Company300587Agent - Health12/16/201412/24/2018
InactiveWashington National Insurance Company300587Agent - Life12/16/201412/24/2018
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCaudill, Michael Nelson 1052537Agent - Health1/27/20218/1/2022
InactiveCaudill, Michael Nelson 1052537Agent - Life1/27/20218/1/2022
ActiveHeckathorn, Christina 847937Agent - Health9/18/2014 
ActiveHeckathorn, Christina 847937Agent - Life9/18/2014 
ActiveHoskins, Ruby Karen 654653Agent - Health10/7/2020 
ActiveHoskins, Ruby Karen 654653Agent - Life10/7/2020 
ActiveHumkey, Gregory Scott 660373Agent - Health5/27/2008 
ActiveHumkey, Gregory Scott 660373Agent - Life5/27/2008 
InactiveHumkey, John Newton 386814Agent - Casualty2/13/20154/1/2023
InactiveHumkey, John Newton 386814Agent - Health1/29/20074/1/2023
InactiveHumkey, John Newton 386814Agent - Life1/29/20074/1/2023
InactiveHumkey, John Newton 386814Agent - Property2/13/20154/1/2023
InactiveMorris, Thomas Anthony 579798Agent - Health10/7/20203/1/2023
InactiveMorris, Thomas Anthony 579798Agent - Life10/7/20203/1/2023
InactivePadgett, Leigh Ann 628075Agent - Health2/28/20078/1/2022
InactivePadgett, Leigh Ann 628075Agent - Life2/28/20078/1/2022

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