DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Towers Watson US LLC	DOIID	705053	NAIC NPN	1633049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/29/2009	3/31/2027
Active	Non Resident	Agent	Property	10/17/2013	3/31/2027
Active	Non Resident	Agent	Casualty	10/17/2013	3/31/2027
Active	Non Resident	Agent	Health	5/29/2009	3/31/2027
* 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
Active	ACE American Insurance Company	300625	Agent - Health	1/7/2019
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/14/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/10/2009
Active	Aetna Life Insurance Company	301140	Agent - Health	11/10/2009
Active	Aetna Life Insurance Company	301140	Agent - Life	11/10/2009
Active	All Savers Insurance Company	301940	Agent - Health	7/1/2023
Active	All Savers Insurance Company	301940	Agent - Life	7/1/2023
Active	American Heritage Life Insurance Company	300272	Agent - Health	8/18/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	8/18/2017
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	9/1/2023
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	9/1/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/23/2009
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/23/2009	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/23/2009	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/23/2009	4/15/2025
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/20/2015	12/21/2015
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/20/2015	12/21/2015
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/4/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/4/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	2/4/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/20/2018
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/20/2018
Active	Combined Insurance Company of America	301472	Agent - Health	6/9/2009
Active	Combined Insurance Company of America	301472	Agent - Life	6/9/2009
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/4/2013	9/26/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/4/2013	9/26/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/3/2015	12/8/2015
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	6/27/2022
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	6/27/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/29/2014
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/29/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2015	12/8/2015
Active	Humana Insurance Company	301104	Agent - Health	3/27/2024
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2015	12/8/2015
Active	Independence American Insurance Company	524747	Agent - Casualty	9/7/2023
Active	Independence American Insurance Company	524747	Agent - Property	9/8/2020
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	7/28/2021
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	7/28/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	12/8/2017
Active	Life Insurance Company of North America	300711	Agent - Health	12/20/2018
Active	Life Insurance Company of North America	300711	Agent - Life	12/20/2018
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	12/22/2015	10/29/2019
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	12/22/2015	10/29/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/22/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/22/2022
Active	Metropolitan Life Insurance Company	301948	Agent - Health	6/2/2009
Active	Metropolitan Life Insurance Company	301948	Agent - Life	6/2/2009
Active	Minnesota Life Insurance Company	300488	Agent - Health	1/4/2021
Active	Minnesota Life Insurance Company	300488	Agent - Life	1/4/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/28/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/28/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	7/14/2009
Active	Nationwide Life Insurance Company	300495	Agent - Life	7/14/2009
Active	New Hampshire Insurance Company	301670	Agent - Casualty	7/28/2021
Active	New Hampshire Insurance Company	301670	Agent - Property	7/28/2021
Active	Obsidian Insurance Company	301819	Agent - Casualty	4/23/2025
Active	Obsidian Insurance Company	301819	Agent - Property	4/23/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/3/2009
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	6/3/2009
Active	Prudential Insurance Company of America	300784	Agent - Health	10/14/2021
Active	Prudential Insurance Company of America	300784	Agent - Life	10/14/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Health	10/10/2013
Active	ReliaStar Life Insurance Company	301712	Agent - Life	10/10/2013
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	1/12/2017
Active	Securian Life Insurance Company	300757	Agent - Health	1/4/2021
Active	Securian Life Insurance Company	300757	Agent - Life	1/4/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/17/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/17/2017
Active	Starmount Life Insurance Company	628031	Agent - Health	11/18/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/20/2015	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/20/2015	12/21/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	3/19/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	3/19/2025
Active	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/11/2017
Active	Travelers Commercial Insurance Company	301506	Agent - Property	7/11/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/20/2015	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/20/2015	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/22/2017	12/9/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/22/2017	12/9/2019
Active	Trustmark Insurance Company	300317	Agent - Health	8/6/2021
Active	Trustmark Insurance Company	300317	Agent - Life	8/6/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/3/2009
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/3/2009
Active	United States Fire Insurance Company	582240	Agent - Casualty	2/4/2019
Active	United States Fire Insurance Company	582240	Agent - Property	2/4/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/1/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/1/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/1/2023
Active	Unum Insurance Company	301499	Agent - Health	11/18/2022
Active	Unum Insurance Company	301499	Agent - Life	11/18/2022
Active	Zurich American Insurance Company	301121	Agent - Casualty	3/5/2020
Active	Zurich American Insurance Company	301121	Agent - Property	3/5/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ageloff, Alexandra Novy	628750	Agent - Health	6/19/2023	1/10/2024
Inactive	Ageloff, Alexandra Novy	628750	Agent - Life	8/8/2023	1/10/2024
Denied	Arena, Stephen	1182896	Agent - Health
Denied	Arena, Stephen	1182896	Agent - Life
Active	Baarlaer, Clare Ann	857421	Agent - Health	6/28/2023
Active	Baarlaer, Clare Ann	857421	Agent - Life	6/28/2023
Active	Belko, Robert Walter	545127	Agent - Casualty	3/31/2023
Active	Belko, Robert Walter	545127	Agent - Health	6/28/2023
Active	Belko, Robert Walter	545127	Agent - Life	6/28/2023
Active	Belko, Robert Walter	545127	Agent - Property	10/17/2013
Active	Bookman, Eric	1341832	Agent - Health	6/13/2024
Active	Bookman, Eric	1341832	Agent - Life	6/13/2024
Active	Brantley, Kimberly Elise	572149	Agent - Health	7/22/2024
Active	Brantley, Kimberly Elise	572149	Agent - Life	7/22/2024
Active	Brashear, Travis Houston	348933	Agent - Health	2/14/2025
Active	Brashear, Travis Houston	348933	Agent - Life	2/14/2025
Active	Brownstein, Charles Isaac	901604	Agent - Life	4/18/2025
Active	Bukowski, Mark Stephen	692923	Agent - Health	6/21/2016
Active	Bukowski, Mark Stephen	692923	Agent - Life	6/21/2016
Active	Calandro, Stephanie Ann	1373683	Agent - Health	12/9/2024
Active	Calandro, Stephanie Ann	1373683	Agent - Life	12/9/2024
Active	Cantwell, Jonathan L	1300521	Agent - Health	10/31/2023
Active	Cantwell, Jonathan L	1300521	Agent - Life	10/31/2023
Active	Cocchia, Christine P	1322552	Agent - Health	4/15/2024
Active	Cocchia, Christine P	1322552	Agent - Life	4/15/2024
Active	Corning, Jessica Lynn	1274916	Agent - Health	6/28/2023
Active	Corning, Jessica Lynn	1274916	Agent - Life	7/12/2023
Active	Davidson, Nicole	818150	Agent - Health	6/28/2023
Active	Davidson, Nicole	818150	Agent - Life	6/28/2023
Active	De La Parra, Lydia	1276890	Agent - Health	12/16/2023
Active	De La Parra, Lydia	1276890	Agent - Life	12/20/2023
Active	Demetrius, Andre Barrington	743198	Agent - Health	6/21/2016
Active	Demetrius, Andre Barrington	743198	Agent - Life	6/21/2016
Inactive	Dowd, Jacquelyn R	584986	Agent - Health	5/29/2009	3/31/2023
Inactive	Dowd, Jacquelyn R	584986	Agent - Life	5/29/2009	3/31/2023
Active	Edusei, James	915406	Agent - Health	11/13/2023
Active	Edusei, James	915406	Agent - Life	11/13/2023
Inactive	Eicher, Robert Daniel	504496	Agent - Health	6/9/2015	1/24/2019
Inactive	Eicher, Robert Daniel	504496	Agent - Life	6/9/2015	1/24/2019
Active	Eichstadt, Adam Lee	768653	Agent - Health	2/4/2013
Active	Eichstadt, Adam Lee	768653	Agent - Life	2/4/2013
Active	Ellis, Sandra Ellen	1352635	Agent - Health	11/27/2024
Active	Ellis, Sandra Ellen	1352635	Agent - Life	12/2/2024
Active	Freedman, Marc Bradley	557594	Agent - Health	6/21/2016
Active	Freedman, Marc Bradley	557594	Agent - Life	6/21/2016
Active	Gantz, Robin Sue	732277	Agent - Life	6/28/2023
Active	Gonzalez, Susana Elizabeth	743039	Agent - Health	2/5/2025
Active	Gonzalez, Susana Elizabeth	743039	Agent - Life	2/5/2025
Active	Grellner, Elizabeth A	822833	Agent - Casualty	6/28/2023
Active	Grellner, Elizabeth A	822833	Agent - Health	6/21/2016
Active	Grellner, Elizabeth A	822833	Agent - Life	6/21/2016
Active	Grellner, Elizabeth A	822833	Agent - Property	6/28/2023
Active	Hamer, Marsha	735658	Agent - Casualty	4/15/2024
Active	Hamer, Marsha	735658	Agent - Health	4/15/2024
Active	Hamer, Marsha	735658	Agent - Life	4/15/2024
Active	Hamer, Marsha	735658	Agent - Property	4/15/2024
Inactive	Harten, Joseph Edward	693918	Agent - Health	8/4/2009	1/3/2013
Inactive	Harten, Joseph Edward	693918	Agent - Life	8/4/2009	1/3/2013
Active	Hebert, Mark Steven	555482	Agent - Casualty	2/4/2019
Denied	Hebert, Mark Steven	555482	Agent - Health
Denied	Hebert, Mark Steven	555482	Agent - Life
Active	Hebert, Mark Steven	555482	Agent - Property	2/4/2019
Active	Henry, Alexander Stephen	1274914	Agent - Health	6/28/2023
Active	Henry, Alexander Stephen	1274914	Agent - Life	7/1/2023
Active	Hobson, Carolyn Michelle	1387321	Agent - Health	4/11/2025
Active	Hobson, Carolyn Michelle	1387321	Agent - Life	4/11/2025
Active	Hoefinghoff, Tyler Richard	1014784	Agent - Health	6/28/2023
Active	Hoefinghoff, Tyler Richard	1014784	Agent - Life	7/13/2023
Active	Johnson, Julie Lynn	939662	Agent - Casualty	6/28/2023
Active	Johnson, Julie Lynn	939662	Agent - Health	6/28/2023
Active	Johnson, Julie Lynn	939662	Agent - Life	6/28/2023
Active	Johnson, Julie Lynn	939662	Agent - Property	6/28/2023
Active	Keller, Jensen	1146785	Agent - Health	11/21/2023
Active	Keller, Jensen	1146785	Agent - Life	11/21/2023
Inactive	Keller, Meghan	826377	Agent - Health	7/19/2023	4/30/2025
Inactive	Keller, Meghan	826377	Agent - Life	7/19/2023	4/30/2025
Active	Kharel, Srijana	1255904	Agent - Health	3/26/2025
Active	Kharel, Srijana	1255904	Agent - Life	3/26/2025
Active	Kunaboot, Al	1381973	Agent - Health	3/8/2025
Active	Kunaboot, Al	1381973	Agent - Life	3/8/2025
Active	Lampel, Erin Michelle	1397049	Agent - Health	6/9/2025
Active	Lampel, Erin Michelle	1397049	Agent - Life	6/9/2025
Active	Lawrence, Jennifer	811740	Agent - Health	6/28/2023
Active	Lawrence, Jennifer	811740	Agent - Life	6/28/2023
Denied	Lewis, Amber	816065	Agent - Casualty
Denied	Lewis, Amber	816065	Agent - Health
Denied	Lewis, Amber	816065	Agent - Life
Denied	Lewis, Amber	816065	Agent - Property
Inactive	Lewis, Diana Nicole	548409	Agent - Health	11/7/2023	4/17/2025
Inactive	Lewis, Diana Nicole	548409	Agent - Life	11/7/2023	4/17/2025
Active	Masony, Jason Michael	800583	Agent - Health	1/28/2013
Active	Masony, Jason Michael	800583	Agent - Life	1/28/2013
Active	Mccall, Jennifer L	1057869	Agent - Life	6/28/2023
Active	Moore, Allison Harper	1391055	Agent - Health	5/16/2025
Active	Moore, Allison Harper	1391055	Agent - Life	5/16/2025
Active	Moore, Samantha	687951	Agent - Health	7/28/2023
Active	Moore, Samantha	687951	Agent - Life	7/28/2023
Active	Moorman, Deborah Olsen	725934	Agent - Health	6/27/2023
Active	Moorman, Deborah Olsen	725934	Agent - Life	6/27/2023
Active	Omalley, Brian C	1272713	Agent - Health	6/28/2023
Active	Omalley, Brian C	1272713	Agent - Life	7/19/2023
Inactive	Orloff, Tracy Michelle	743135	Agent - Health	1/20/2025	4/10/2025
Inactive	Orloff, Tracy Michelle	743135	Agent - Life	1/20/2025	4/10/2025
Inactive	Parnow, Charles Joseph	757264	Agent - Health	6/21/2016	6/30/2022
Inactive	Parnow, Charles Joseph	757264	Agent - Life	6/21/2016	6/30/2022
Active	Parson, Trevis Gene	838848	Agent - Health	6/21/2016
Active	Parson, Trevis Gene	838848	Agent - Life	6/21/2016
Active	Reynolds, Michael	1244470	Agent - Health	7/17/2023
Active	Reynolds, Michael	1244470	Agent - Life	7/17/2023
Active	Rinderknecht, Stacie	627688	Agent - Health	6/14/2024
Active	Rinderknecht, Stacie	627688	Agent - Life	6/14/2024
Active	Rost, Randall K	1341550	Agent - Health	6/18/2024
Active	Rost, Randall K	1341550	Agent - Life	6/18/2024
Active	Sakamoto, Mayumi	903841	Agent - Life	11/21/2023
Active	Schatt, Steven Michael	954471	Agent - Life	4/10/2025
Active	Schwartz, Eric Bradley	1056584	Agent - Life	2/4/2020
Active	Shinohara, Laura	1022749	Agent - Health	8/22/2023
Active	Shinohara, Laura	1022749	Agent - Life	8/22/2023
Inactive	Stitzel, Brian	981825	Agent - Health	7/11/2023	10/31/2024
Inactive	Stitzel, Brian	981825	Agent - Life	7/11/2023	10/31/2024
Inactive	Thorpe, Kimberly	739823	Agent - Health	6/21/2016	10/27/2016
Inactive	Thorpe, Kimberly	739823	Agent - Life	6/21/2016	10/27/2016
Active	Vary, Betsy Ann	903458	Agent - Life	6/28/2023
Active	Wallace, Michael L	904668	Agent - Casualty	2/4/2025
Active	Wallace, Michael L	904668	Agent - Health	2/4/2025
Active	Wallace, Michael L	904668	Agent - Life	2/4/2025
Active	Wallace, Michael L	904668	Agent - Property	2/4/2025
Denied	Walsh, Elizabeth W	581316	Agent - Life
Active	Weinzapfel, Christopher M	1377321	Agent - Health	2/4/2025
Active	Weinzapfel, Christopher M	1377321	Agent - Life	2/4/2025
Active	Wessel, Paula	913516	Agent - Health	6/28/2023
Active	Wessel, Paula	913516	Agent - Life	6/28/2023
Inactive	White, Jake	840502	Agent - Health	7/26/2023	11/28/2023
Inactive	White, Jake	840502	Agent - Life	7/26/2023	11/28/2023
Inactive	Wierkiewicz, David J	868183	Agent - Casualty	7/18/2023	9/25/2023
Inactive	Wierkiewicz, David J	868183	Agent - Health	6/21/2016	9/25/2023
Inactive	Wierkiewicz, David J	868183	Agent - Life	6/21/2016	9/25/2023
Inactive	Wierkiewicz, David J	868183	Agent - Property	7/18/2023	9/25/2023
Active	Zdrill, Kimberley Anne	1213766	Agent - Health	7/14/2023
Active	Zdrill, Kimberley Anne	1213766	Agent - Life	7/14/2023
Active	Zhou, Amanda	938476	Agent - Life	10/24/2023