DEPARTMENT OF INSURANCE
Affiliations
NameNetwork Insurance Senior Health Division ALG LLCDOIID702163NAIC NPN13041760
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/23/2009 3/31/2025
ActiveNon ResidentAgentLife3/23/2009 3/31/2025
* 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
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health5/11/2015 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/29/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/6/2015 
ActiveAetna Life Insurance Company301140Agent - Life8/6/2015 
InactiveAmerican Continental Insurance Company643130Agent - Health6/9/20096/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life6/9/200912/6/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life6/6/20149/18/2015
InactiveAmerican National Insurance Company301861Agent - Health10/26/20166/3/2021
ActiveAmerican National Insurance Company301861Agent - Life10/26/2016 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/12/201312/21/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health9/23/2018 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health5/29/2024 
ActiveChesapeake Life Insurance Company (The)301017Agent - Health3/29/2019 
ActiveChesapeake Life Insurance Company (The)301017Agent - Life3/29/2019 
ActiveCigna Healthcare of Colorado, Inc.1098153Agent - Health11/13/2023 
ActiveCigna National Health Insurance Company300235Agent - Health11/23/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/10/20113/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health6/7/2023 
InactiveConnecticut General Life Insurance Company301333Agent - Health5/4/20116/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life5/4/20116/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/8/2009 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/8/20095/20/2016
ActiveDental Concern Inc. (The)301641Agent - Health3/10/2011 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/15/2010 
ActiveForethought Life Insurance Company301407Agent - Health3/7/2011 
ActiveForethought Life Insurance Company301407Agent - Life3/7/2011 
ActiveGerber Life Insurance Company300529Agent - Health5/26/2022 
ActiveGerber Life Insurance Company300529Agent - Life5/26/2022 
InactiveGolden Rule Insurance Company301943Agent - Health8/22/201410/1/2016
InactiveGolden Rule Insurance Company301943Agent - Life8/22/201410/1/2016
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/25/2019 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health8/7/2023 
ActiveHumana Health Plan, Inc.300142Agent - Health3/10/2011 
ActiveHumana Insurance Company301104Agent - Health3/10/2011 
ActiveHumana Insurance Company301104Agent - Life3/10/2011 
ActiveHumana Insurance Company of Kentucky300826Agent - Health3/10/2011 
ActiveHumana Insurance Company of Kentucky300826Agent - Life3/10/2011 
ActiveHumana Medical Plan, Inc.801568Agent - Health8/12/2016 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveIndependent Order of Foresters300743Agent - Life7/22/201012/29/2021
InactiveKanawha Insurance Company300127Agent - Health3/10/201110/22/2015
InactiveKanawha Insurance Company300127Agent - Life3/10/201110/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health6/16/202312/22/2023
ActiveLife Insurance Company of the Southwest301867Agent - Health3/8/2021 
ActiveLife Insurance Company of the Southwest301867Agent - Life3/8/2021 
InactiveLifeSecure Insurance Company301629Agent - Health5/10/20112/5/2015
InactiveLifeSecure Insurance Company301629Agent - Life5/10/201111/27/2012
ActiveLoyal American Life Insurance Company301172Agent - Health11/10/2022 
InactiveLoyal American Life Insurance Company301172Agent - Life4/8/201512/22/2020
ActiveLumico Life Insurance Company300354Agent - Life8/2/2020 
ActiveMedco Containment Life Insurance Company301557Agent - Health11/13/2023 
InactiveNassau Life Insurance Company of Kansas300667Agent - Health8/13/20091/3/2014
InactiveNassau Life Insurance Company of Kansas300667Agent - Life8/13/200912/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Health9/27/20109/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Life9/27/20109/13/2012
InactiveNassau Life and Annuity Company513671Agent - Life4/15/201911/30/2021
ActiveNational Health Insurance Company300554Agent - Health10/27/2022 
ActiveNational Health Insurance Company300554Agent - Life10/27/2022 
ActiveNational Western Life Insurance Company301515Agent - Life5/2/2011 
InactivePHL Variable Insurance Company300525Agent - Life4/29/201412/3/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health3/16/201111/4/2011
InactivePennsylvania Life Insurance Company301321Agent - Health8/13/20093/31/2013
InactivePennsylvania Life Insurance Company301321Agent - Life8/13/20093/31/2013
InactivePuritan Life Insurance Company of America301892Agent - Health10/14/200910/20/2010
InactivePuritan Life Insurance Company of America301892Agent - Life10/14/200910/20/2010
ActiveRoyal Neighbors of America301646Agent - Life7/9/2015 
InactiveSILAC Insurance Company300535Agent - Health10/10/20121/4/2022
InactiveSILAC Insurance Company300535Agent - Life10/10/20121/4/2022
ActiveSentinel Security Life Insurance Company935789Agent - Health10/18/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/18/2022 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life9/16/2022 
InactiveTransamerica Life Insurance Company300571Agent - Health3/31/20104/29/2011
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/29/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/14/201612/20/2018
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 - Health3/16/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/29/2024 
ActiveWashington National Insurance Company300587Agent - Health8/23/2012 
ActiveWashington National Insurance Company300587Agent - Life8/23/2012 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20183/24/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20183/24/2022
ActiveGraham, Matthew B 640480Agent - Health3/24/2022 
ActiveGraham, Matthew B 640480Agent - Life3/24/2022 
InactiveNorth, Timothy Owen 514133Agent - Health3/23/20094/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life3/23/20098/31/2022

© Commonwealth of Kentucky. All rights reserved.