DEPARTMENT OF INSURANCE

Affiliations

Name	Empyrean Insurance Services, Inc.	DOIID	662906	NAIC NPN	9417833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/15/2019		3/31/2027
Active	Non Resident	Agent	Casualty	1/15/2019		3/31/2027
Inactive	Non Resident	Agent	Health	8/30/2007	2/12/2019
Inactive	Non Resident	Agent	Life	8/30/2007	2/12/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/6/2008	2/12/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/6/2008	2/12/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/6/2008	2/12/2019
Inactive	American General Assurance Company	300586	Agent - Health	9/20/2009	7/25/2011
Inactive	American General Assurance Company	300586	Agent - Life	9/20/2009	7/25/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2007	11/3/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2007	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/2007	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2007	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/10/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/14/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/14/2008	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/8/2008	3/11/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/8/2008	3/11/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/14/2008	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/14/2008	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/14/2008	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/22/2008	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/22/2008	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/22/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/22/2008	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/30/2011	9/3/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/18/2008	11/18/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/18/2008	11/18/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/27/2015	2/12/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/27/2015	2/12/2019
Inactive	Time Insurance Company	300683	Agent - Health	4/21/2008	10/28/2011
Inactive	Time Insurance Company	300683	Agent - Life	4/21/2008	10/28/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/27/2015	2/12/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/27/2015	2/12/2019
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	9/20/2009	8/28/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	9/20/2009	8/28/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/22/2008	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/22/2008	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/22/2008	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/22/2008	12/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hernandez, Jill	1024111	Agent - Health
Denied	Hernandez, Jill	1024111	Agent - Life
Denied	Hooper, Savana Yarbro	677882	Agent - Health
Denied	Hooper, Savana Yarbro	677882	Agent - Life
Inactive	Mackey, Michael James	631048	Agent - Health	8/30/2007	4/30/2008
Inactive	Mackey, Michael James	631048	Agent - Life	8/30/2007	4/30/2008
Inactive	Perhala, Tiffaney Taylor	876311	Agent - Health	6/3/2015	2/12/2019
Inactive	Perhala, Tiffaney Taylor	876311	Agent - Life	6/3/2015	2/12/2019
Active	Priebe, James M	1024112	Agent - Casualty	1/15/2019
Denied	Priebe, James M	1024112	Agent - Health
Denied	Priebe, James M	1024112	Agent - Life
Active	Priebe, James M	1024112	Agent - Property	1/15/2019
Inactive	Sawyer, Andrew Todd	375873	Agent - Health	4/30/2008	9/13/2012
Inactive	Sawyer, Andrew Todd	375873	Agent - Life	4/30/2008	9/13/2012
Inactive	Taggart, Michael Harry	786974	Agent - Health	9/13/2012	8/27/2015
Inactive	Taggart, Michael Harry	786974	Agent - Life	9/13/2012	8/27/2015