DEPARTMENT OF INSURANCE

Affiliations

Name	Amerassure Marketing Group LLC	DOIID	715687	NAIC NPN	14124089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/14/2009	3/31/2027
Active	Non Resident	Agent	Health	10/14/2009	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	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	9/5/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/5/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	9/5/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	12/11/2009	11/13/2012
Inactive	American Continental Insurance Company	643130	Agent - Life	12/11/2009	11/13/2012
Inactive	American Pioneer Life Insurance Company	301782	Agent - Health	10/17/2010	9/13/2012
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	4/23/2015	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	4/23/2015	12/24/2015
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/13/2012	8/13/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/11/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/11/2016
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	12/3/2009	6/11/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/10/2009	6/28/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/10/2009	6/28/2013
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/12/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/10/2010
Active	Forethought Life Insurance Company	301407	Agent - Health	3/14/2011
Active	Forethought Life Insurance Company	301407	Agent - Life	3/14/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/15/2011	6/20/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/15/2011	6/20/2016
Inactive	Independent Order of Foresters	300743	Agent - Life	10/29/2009	12/27/2021
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	2/22/2011	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	2/22/2011	9/13/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/15/2011	1/27/2014
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	10/17/2010	9/13/2012
Active	National Western Life Insurance Company	301515	Agent - Life	3/10/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	1/27/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/12/2010	11/4/2011
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	9/23/2013
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	9/23/2013
Active	SilverScript Insurance Company	663526	Agent - Health	5/12/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/15/2011	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/15/2011	1/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/12/2010	5/21/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	5/21/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	5/21/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	5/21/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/12/2018	12/15/2021
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/12/2018	12/15/2021
Active	Graham, Matthew B	640480	Agent - Health	12/15/2021
Active	Graham, Matthew B	640480	Agent - Life	12/15/2021
Inactive	North, Timothy Owen	514133	Agent - Health	10/14/2009	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	10/14/2009	4/13/2018