DEPARTMENT OF INSURANCE
Affiliations
NamePremiere Senior Insurance Services Inc
DBA : Premier Insurance Services
DOIID672379NAIC NPN7518090
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/5/2008 3/31/2026
ActiveNon ResidentAgentHealth3/5/2008 3/31/2026
ActiveNon ResidentAgentProperty3/5/2008 3/31/2026
ActiveNon ResidentAgentCasualty3/5/2008 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
ActiveAetna Health Inc. (PA)660717Agent - Health12/11/2013 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health12/11/2013 
ActiveAetna Life Insurance Company301140Agent - Life12/11/2013 
InactiveAmerican Commerce Insurance Company301665Agent - Casualty10/2/20144/28/2017
InactiveAmerican Commerce Insurance Company301665Agent - Property10/2/20144/28/2017
InactiveAmerican Economy Insurance Company300315Agent - Casualty6/3/20093/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property6/3/20093/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/20/201511/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property10/20/201511/14/2021
InactiveAmerican Fire and Casualty Company300567Agent - Casualty6/3/20093/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property6/3/20093/29/2024
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty5/1/2012 
ActiveAmerican Modern Home Insurance Company300791Agent - Property5/1/2012 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty5/28/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property5/28/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty5/1/201211/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property5/1/201211/14/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health12/16/201512/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life12/16/201512/21/2018
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty5/1/201211/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property5/1/201211/14/2021
InactiveAmerican States Insurance Company301230Agent - Casualty6/3/20093/29/2024
InactiveAmerican States Insurance Company301230Agent - Property6/3/20093/29/2024
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty6/4/2020 
ActiveAmerican Strategic Insurance Corp883540Agent - Property6/4/2020 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/26/201312/18/2018
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/1/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/6/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveArcadian Health Plan, Inc.728196Agent - Health10/18/20174/29/2019
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/1/2020 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/1/2020 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/10/201712/21/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/10/201712/21/2018
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCombined Insurance Company of America301472Agent - Health4/1/20164/13/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health5/28/201312/8/2015
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/6/2021 
InactiveConsolidated Insurance Company300943Agent - Casualty5/13/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property5/13/200810/13/2022
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/10/2018 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/1/2014 
InactiveDental Concern Inc. (The)301641Agent - Health5/28/201312/8/2015
InactiveEncompass Indemnity Company546376Agent - Casualty5/5/200810/3/2024
InactiveEncompass Indemnity Company546376Agent - Property5/5/200810/3/2024
ActiveEncompass Insurance Company300188Agent - Casualty6/18/2024 
ActiveEncompass Insurance Company300188Agent - Property6/18/2024 
InactiveEncompass Insurance Company of America556578Agent - Casualty5/19/201112/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property5/19/201112/13/2018
InactiveEncova Life Insurance Company301818Agent - Life3/13/20091/1/2024
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/25/2008 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/25/2008 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/1/2014 
InactiveFirst National Insurance Company of America301690Agent - Casualty10/16/200810/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property10/16/200810/13/2022
InactiveForethought Life Insurance Company301407Agent - Health12/30/20101/6/2015
InactiveForethought Life Insurance Company301407Agent - Life12/30/20101/6/2015
InactiveGeneral Insurance Company of America300261Agent - Casualty10/16/20083/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property10/16/20083/29/2024
ActiveGerber Life Insurance Company300529Agent - Health12/8/2013 
ActiveGerber Life Insurance Company300529Agent - Life12/8/2013 
InactiveGolden Rule Insurance Company301943Agent - Health5/11/201512/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life5/11/201512/14/2016
ActiveGrange Indemnity Insurance Company300793Agent - Casualty9/16/2009 
ActiveGrange Indemnity Insurance Company300793Agent - Property9/16/2009 
ActiveGrange Insurance Company300234Agent - Casualty9/16/2009 
ActiveGrange Insurance Company300234Agent - Property9/16/2009 
InactiveGrange Life Insurance Company300128Agent - Health9/16/20093/31/2021
InactiveGrange Life Insurance Company300128Agent - Life9/16/20093/31/2021
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty9/16/2009 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property9/16/2009 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health12/19/20121/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life12/19/20121/2/2019
InactiveGuideOne Elite Insurance Company300490Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Elite Insurance Company300490Agent - Property3/25/20081/21/2022
InactiveGuideOne Insurance Company301794Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Insurance Company301794Agent - Property3/25/20081/21/2022
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty3/25/20081/21/2022
InactiveGuideOne Specialty Insurance Company300278Agent - Property3/25/20081/21/2022
InactiveHallmark National Insurance Company300494Agent - Casualty2/24/20101/8/2018
InactiveHallmark National Insurance Company300494Agent - Property2/24/20101/8/2018
ActiveHartford Accident and Indemnity Company301917Agent - Casualty4/12/2013 
ActiveHartford Accident and Indemnity Company301917Agent - Property4/12/2013 
InactiveHartford Underwriters Insurance Company301064Agent - Casualty2/17/201512/5/2018
InactiveHartford Underwriters Insurance Company301064Agent - Property2/17/201512/5/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/28/201312/13/2016
InactiveHumana Health Plan, Inc.300142Agent - Health1/18/20176/15/2018
InactiveHumana Insurance Company301104Agent - Health5/28/201312/13/2016
InactiveHumana Insurance Company301104Agent - Life5/28/201312/13/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/28/201312/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/28/201312/8/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health11/24/201512/13/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/20166/15/2018
InactiveIndiana Insurance Company301909Agent - Casualty5/13/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property5/13/20082/3/2023
InactiveKanawha Insurance Company300127Agent - Health5/28/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/28/201310/22/2015
InactiveMedico Corp Life Insurance Company301777Agent - Health9/21/20153/14/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life9/21/20153/14/2018
InactiveMedico Insurance Company301559Agent - Health8/28/201212/26/2018
InactiveMedico Insurance Company301559Agent - Life8/28/201212/26/2018
InactiveMedico Life and Health Insurance Company907406Agent - Health2/27/202112/21/2022
InactiveMedico Life and Health Insurance Company907406Agent - Life2/27/202112/21/2022
InactiveMeridian Security Insurance Company300423Agent - Casualty2/24/20101/7/2014
InactiveMeridian Security Insurance Company300423Agent - Property2/24/20101/7/2014
InactiveMetropolitan General Insurance Company300709Agent - Casualty4/25/200812/24/2020
InactiveMetropolitan General Insurance Company300709Agent - Property4/25/200812/24/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health3/19/200812/26/2012
ActiveNational General Insurance Company300152Agent - Casualty9/27/2011 
ActiveNational General Insurance Company300152Agent - Property9/27/2011 
ActiveNational Specialty Insurance Company300993Agent - Casualty7/19/2022 
ActiveNational Specialty Insurance Company300993Agent - Property7/19/2022 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty5/13/20085/9/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property5/13/20085/9/2024
InactiveNext Insurance US Company1083825Agent - Casualty7/18/20224/29/2025
InactiveNext Insurance US Company1083825Agent - Property7/18/20224/29/2025
ActiveNorth American Company for Life and Health Insurance300291Agent - Life9/23/2020 
ActiveOhio Casualty Insurance Company301492Agent - Casualty5/30/2008 
ActiveOhio Casualty Insurance Company301492Agent - Property5/30/2008 
ActiveOhio Security Insurance Company300622Agent - Casualty5/28/2024 
ActiveOhio Security Insurance Company300622Agent - Property5/28/2024 
InactiveOmaha Insurance Company751908Agent - Health3/30/20126/24/2013
InactivePacifiCare Life and Health Insurance Company301304Agent - Health9/11/200911/4/2011
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty5/13/20089/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property5/13/20089/26/2024
InactivePeerless Insurance Company301910Agent - Casualty5/13/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property5/13/20085/8/2025
ActiveProgressive Casualty Insurance Company300696Agent - Casualty4/4/2008 
ActiveProgressive Casualty Insurance Company300696Agent - Property4/4/2008 
InactiveProgressive Northern Insurance Company301378Agent - Casualty4/4/200812/9/2013
InactiveProgressive Northern Insurance Company301378Agent - Property4/4/200812/9/2013
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/16/20083/29/2024
ActiveSentinel Insurance Company, Limited501696Agent - Casualty9/16/2008 
ActiveSentinel Insurance Company, Limited501696Agent - Property9/16/2008 
ActiveSilverScript Insurance Company663526Agent - Health2/26/2020 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/10/2014 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/10/2014 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health4/2/201012/27/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/2/201012/27/2018
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty2/24/20101/7/2014
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property2/24/20101/7/2014
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty2/24/20101/7/2014
InactiveState Automobile Mutual Insurance Company301824Agent - Property2/24/20101/7/2014
ActiveState National Insurance Company, Inc.300888Agent - Casualty7/19/2022 
ActiveState National Insurance Company, Inc.300888Agent - Property7/19/2022 
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/21/200812/9/2013
InactiveThe Phoenix Insurance Company301502Agent - Property4/21/200812/9/2013
InactiveTitan Indemnity Company300556Agent - Casualty3/3/20116/22/2017
InactiveTitan Indemnity Company300556Agent - Property3/3/20116/22/2017
InactiveTransamerica Premier Life Insurance Company300558Agent - Health9/8/20113/15/2013
InactiveTransamerica Premier Life Insurance Company300558Agent - Life9/8/20113/15/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty4/21/200812/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property4/21/200812/9/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty4/21/2008 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property4/21/2008 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty4/21/200812/9/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property4/21/200812/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/21/200812/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property4/21/200812/9/2013
ActiveTravelers Personal Insurance Company705785Agent - Casualty8/14/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property8/14/2019 
ActiveTrexis Insurance Corporation599902Agent - Casualty3/13/2012 
ActiveTrexis One Insurance Corporation684197Agent - Casualty4/5/2012 
ActiveTrustgard Insurance Company300104Agent - Casualty9/16/2009 
ActiveTrustgard Insurance Company300104Agent - Property9/16/2009 
ActiveUnited Financial Casualty Company301886Agent - Casualty4/4/2008 
ActiveUnited Financial Casualty Company301886Agent - Property4/4/2008 
InactiveUnited World Life Insurance Company300532Agent - Health3/19/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/19/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/19/200812/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/5/2016 
ActiveUnitedHealthcare Insurance Company300946Agent - Life2/5/2016 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/8/201112/1/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/2015 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty1/10/201310/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property1/10/201310/23/2024
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty1/10/201312/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property1/10/201312/2/2013
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201810/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201810/23/2024
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/6/20116/22/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/6/20116/22/2017
InactiveWest American Insurance Company301112Agent - Casualty5/30/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property5/30/20083/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveKofalt, Mark T 366693Agent - Casualty3/25/2008 
ActiveKofalt, Mark T 366693Agent - Health3/5/2008 
ActiveKofalt, Mark T 366693Agent - Life3/5/2008 
ActiveKofalt, Mark T 366693Agent - Property3/25/2008 
InactivePetreccia, Vincent Henry 609275Agent - Casualty3/5/20081/15/2014
InactivePetreccia, Vincent Henry 609275Agent - Health3/5/20087/10/2013
InactivePetreccia, Vincent Henry 609275Agent - Life3/5/20087/10/2013
InactivePetreccia, Vincent Henry 609275Agent - Property3/5/20081/15/2014

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