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.

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	01/30/2025	01/30/2025	Yes

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