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DEPARTMENT OF INSURANCE
Affiliations
Name
Network Insurance Senior Health Division ALG LLC
DOIID
702163
NAIC NPN
13041760
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
3/23/2009
3/31/2025
Active
Non Resident
Agent
Life
3/23/2009
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Accendo Insurance Company
300312
Agent - Life
6/10/2020
Active
Aetna Health Inc. (PA)
660717
Agent - Health
5/11/2015
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
7/29/2020
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/24/2020
Active
Aetna Life Insurance Company
301140
Agent - Health
8/6/2015
Active
Aetna Life Insurance Company
301140
Agent - Life
8/6/2015
Inactive
American Continental Insurance Company
643130
Agent - Health
6/9/2009
6/6/2016
Inactive
American Continental Insurance Company
643130
Agent - Life
6/9/2009
12/6/2021
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
6/6/2014
9/18/2015
Inactive
American National Insurance Company
301861
Agent - Health
10/26/2016
6/3/2021
Active
American National Insurance Company
301861
Agent - Life
10/26/2016
Inactive
American Retirement Life Insurance Company
706303
Agent - Health
4/12/2013
12/21/2018
Active
Ameritas Life Insurance Corporation
300126
Agent - Health
9/23/2018
Active
Arcadian Health Plan, Inc.
728196
Agent - Health
10/18/2017
Active
CIGNA Health & Life Insurance Company
301783
Agent - Health
10/2/2016
Active
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
5/29/2024
Active
Chesapeake Life Insurance Company (The)
301017
Agent - Health
3/29/2019
Active
Chesapeake Life Insurance Company (The)
301017
Agent - Life
3/29/2019
Active
Cigna Healthcare of Colorado, Inc.
1098153
Agent - Health
11/13/2023
Active
Cigna National Health Insurance Company
300235
Agent - Health
11/23/2022
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/10/2011
3/14/2019
Active
CompBenefits Insurance Company
301864
Agent - Health
6/7/2023
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
5/4/2011
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
5/4/2011
6/11/2014
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
6/8/2009
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
6/8/2009
5/20/2016
Active
Dental Concern Inc. (The)
301641
Agent - Health
3/10/2011
Active
First Health Life & Health Insurance Company
301735
Agent - Health
12/15/2010
Active
Forethought Life Insurance Company
301407
Agent - Health
3/7/2011
Active
Forethought Life Insurance Company
301407
Agent - Life
3/7/2011
Active
Gerber Life Insurance Company
300529
Agent - Health
5/26/2022
Active
Gerber Life Insurance Company
300529
Agent - Life
5/26/2022
Inactive
Golden Rule Insurance Company
301943
Agent - Health
8/22/2014
10/1/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Life
8/22/2014
10/1/2016
Active
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
11/25/2019
Active
Humana Health Plan of Ohio Inc.
301565
Agent - Health
8/7/2023
Active
Humana Health Plan, Inc.
300142
Agent - Health
3/10/2011
Active
Humana Insurance Company
301104
Agent - Health
3/10/2011
Active
Humana Insurance Company
301104
Agent - Life
3/10/2011
Active
Humana Insurance Company of Kentucky
300826
Agent - Health
3/10/2011
Active
Humana Insurance Company of Kentucky
300826
Agent - Life
3/10/2011
Active
Humana Medical Plan, Inc.
801568
Agent - Health
8/12/2016
Active
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
12/1/2016
Inactive
Independent Order of Foresters
300743
Agent - Life
7/22/2010
12/29/2021
Inactive
Kanawha Insurance Company
300127
Agent - Health
3/10/2011
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
3/10/2011
10/22/2015
Inactive
Lasso Healthcare Insurance Company
1022651
Agent - Health
6/16/2023
12/22/2023
Active
Life Insurance Company of the Southwest
301867
Agent - Health
3/8/2021
Active
Life Insurance Company of the Southwest
301867
Agent - Life
3/8/2021
Inactive
LifeSecure Insurance Company
301629
Agent - Health
5/10/2011
2/5/2015
Inactive
LifeSecure Insurance Company
301629
Agent - Life
5/10/2011
11/27/2012
Active
Loyal American Life Insurance Company
301172
Agent - Health
11/10/2022
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
4/8/2015
12/22/2020
Active
Lumico Life Insurance Company
300354
Agent - Life
8/2/2020
Active
Medco Containment Life Insurance Company
301557
Agent - Health
11/13/2023
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
8/13/2009
1/3/2014
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Life
8/13/2009
12/13/2012
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Health
9/27/2010
9/13/2012
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Life
9/27/2010
9/13/2012
Inactive
Nassau Life and Annuity Company
513671
Agent - Life
4/15/2019
11/30/2021
Active
National Health Insurance Company
300554
Agent - Health
10/27/2022
Active
National Health Insurance Company
300554
Agent - Life
10/27/2022
Active
National Western Life Insurance Company
301515
Agent - Life
5/2/2011
Inactive
PHL Variable Insurance Company
300525
Agent - Life
4/29/2014
12/3/2020
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
3/16/2011
11/4/2011
Inactive
Pennsylvania Life Insurance Company
301321
Agent - Health
8/13/2009
3/31/2013
Inactive
Pennsylvania Life Insurance Company
301321
Agent - Life
8/13/2009
3/31/2013
Inactive
Puritan Life Insurance Company of America
301892
Agent - Health
10/14/2009
10/20/2010
Inactive
Puritan Life Insurance Company of America
301892
Agent - Life
10/14/2009
10/20/2010
Active
Royal Neighbors of America
301646
Agent - Life
7/9/2015
Inactive
SILAC Insurance Company
300535
Agent - Health
10/10/2012
1/4/2022
Inactive
SILAC Insurance Company
300535
Agent - Life
10/10/2012
1/4/2022
Active
Sentinel Security Life Insurance Company
935789
Agent - Health
10/18/2022
Active
Sentinel Security Life Insurance Company
935789
Agent - Life
10/18/2022
Active
SilverScript Insurance Company
663526
Agent - Health
8/23/2019
Active
Tier One Insurance Company
301056
Agent - Health
10/24/2022
Active
Tier One Insurance Company
301056
Agent - Life
9/16/2022
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
3/31/2010
4/29/2011
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
5/29/2024
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/14/2016
12/20/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/5/2019
12/22/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/15/2018
12/23/2021
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
3/16/2011
12/5/2016
Active
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
5/29/2024
Active
Washington National Insurance Company
300587
Agent - Health
8/23/2012
Active
Washington National Insurance Company
300587
Agent - Life
8/23/2012
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
12/11/2018
5/13/2021
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Graham, Mark Burnside
638756
Agent - Health
4/13/2018
3/24/2022
Inactive
Graham, Mark Burnside
638756
Agent - Life
4/13/2018
3/24/2022
Active
Graham, Matthew B
640480
Agent - Health
3/24/2022
Active
Graham, Matthew B
640480
Agent - Life
3/24/2022
Inactive
North, Timothy Owen
514133
Agent - Health
3/23/2009
4/13/2018
Inactive
North, Timothy Owen
514133
Agent - Life
3/23/2009
8/31/2022
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