DEPARTMENT OF INSURANCE
Affiliations
NameKeystone Ins & Benefits Group LLCDOIID716920NAIC NPN14298459
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/30/2009 3/31/2027
ActiveNon ResidentAgentHealth10/30/2009 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/21/202501/21/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health10/6/2014 
ActiveAetna Life Insurance Company301140Agent - Health10/6/2014 
ActiveAetna Life Insurance Company301140Agent - Life10/6/2014 
ActiveAll Savers Insurance Company301940Agent - Health7/29/2014 
ActiveAll Savers Insurance Company301940Agent - Life7/29/2014 
ActiveAmFirst Insurance Company999525Agent - Health8/1/2020 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/15/2015 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/15/2015 
ActiveAmerican Heritage Life Insurance Company300272Agent - Health10/22/2024 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life10/22/2024 
ActiveAmerican United Life Insurance Company300498Agent - Health4/14/2013 
ActiveAmerican United Life Insurance Company300498Agent - Life4/14/2013 
ActiveAmeritas Life Insurance Corporation300126Agent - Health10/21/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/17/2010 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/17/20104/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/17/20104/15/2025
InactiveBaptist Health Plan, Inc.300157Agent - Health9/21/20113/31/2019
InactiveBerkley Life and Health Insurance Company301421Agent - Health11/17/20153/18/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/9/20109/16/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/9/20109/16/2013
ActiveCincinnati Life Insurance Company (The)300601Agent - Life5/11/2023 
ActiveColonial Life and Accident Insurance Company300846Agent - Health2/2/2011 
ActiveColonial Life and Accident Insurance Company300846Agent - Life2/2/2011 
ActiveCombined Insurance Company of America301472Agent - Health6/4/2018 
ActiveCombined Insurance Company of America301472Agent - Life6/4/2018 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/14/20103/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health11/1/2019 
InactiveCompBenefits Insurance Company301864Agent - Life4/14/20107/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health9/20/2024 
ActiveCompanion Life Insurance Company300191Agent - Life9/20/2024 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental American Insurance Company301700Agent - Health6/22/2015 
ActiveContinental American Insurance Company301700Agent - Life6/22/2015 
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveCoventry Health and Life Insurance Company301771Agent - Health10/6/20146/15/2022
InactiveCoventry Health and Life Insurance Company301771Agent - Life10/6/20146/15/2022
ActiveDental Concern Inc. (The)301641Agent - Health6/14/2010 
ActiveFidelity Security Life Insurance Company300466Agent - Health6/4/2013 
ActiveFidelity Security Life Insurance Company300466Agent - Life6/4/2013 
InactiveGerber Life Insurance Company300529Agent - Health12/18/20193/2/2023
InactiveGerber Life Insurance Company300529Agent - Life12/18/20193/2/2023
ActiveGolden Rule Insurance Company301943Agent - Health4/20/2012 
ActiveGolden Rule Insurance Company301943Agent - Life4/20/2012 
ActiveGuardian Life Insurance Company of America301316Agent - Health4/28/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/28/2015 
ActiveHCC Life Insurance Company301827Agent - Health3/29/2019 
ActiveHCC Life Insurance Company301827Agent - Life3/29/2019 
ActiveHartford Life and Accident Insurance Company300878Agent - Health6/3/2010 
ActiveHartford Life and Accident Insurance Company300878Agent - Life6/3/2010 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/15/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health4/17/2019 
ActiveHumana Health Plan, Inc.300142Agent - Health4/14/2010 
ActiveHumana Insurance Company301104Agent - Health4/14/2010 
ActiveHumana Insurance Company301104Agent - Life4/14/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Health4/14/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Life4/14/2010 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/15/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveHumanaDental Insurance Company301457Agent - Health4/14/20105/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life4/14/20105/13/2013
InactiveIndependence American Insurance Company524747Agent - Health4/3/201912/18/2020
InactiveKanawha Insurance Company300127Agent - Health4/14/20108/9/2018
InactiveKanawha Insurance Company300127Agent - Life4/14/20108/9/2018
ActiveLife Insurance Company of North America300711Agent - Health7/2/2015 
ActiveLife Insurance Company of North America300711Agent - Life7/2/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health10/21/2011 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/21/2011 
ActiveMadison National Life Insurance Company Inc.301458Agent - Health4/29/2016 
ActiveMadison National Life Insurance Company Inc.301458Agent - Life4/29/2016 
ActiveMetropolitan Life Insurance Company301948Agent - Health2/15/2011 
ActiveMetropolitan Life Insurance Company301948Agent - Life2/15/2011 
ActiveNational Health Insurance Company300554Agent - Health7/29/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health7/12/2012 
ActiveNippon Life Insurance Company of America300446Agent - Health9/2/2024 
ActiveNippon Life Insurance Company of America300446Agent - Life9/2/2024 
ActivePrincipal Life Insurance Company300129Agent - Health9/28/2017 
ActivePrincipal Life Insurance Company300129Agent - Life9/28/2017 
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/10/201911/30/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/10/201911/30/2023
ActivePrudential Insurance Company of America300784Agent - Health2/27/2014 
ActivePrudential Insurance Company of America300784Agent - Life2/27/2014 
InactiveSecurian Life Insurance Company300757Agent - Health2/1/201211/26/2019
ActiveSecurian Life Insurance Company300757Agent - Life2/1/2012 
InactiveSecurity Life Insurance Company of America300936Agent - Health3/21/201312/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life3/21/201312/31/2016
ActiveStandard Insurance Company300185Agent - Health6/13/2019 
ActiveStandard Insurance Company300185Agent - Life6/13/2019 
ActiveStandard Life and Accident Insurance Company301534Agent - Health4/15/2015 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health5/4/201612/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life5/4/201612/26/2018
InactiveStarmount Life Insurance Company628031Agent - Health10/10/201911/30/2023
ActiveSun Life Assurance Company of Canada301811Agent - Health2/9/2011 
ActiveSun Life Assurance Company of Canada301811Agent - Life2/9/2011 
ActiveSun Life and Health Insurance Company (U.S.)300801Agent - Health2/9/2011 
ActiveSun Life and Health Insurance Company (U.S.)300801Agent - Life2/9/2011 
Pending ReplacementSuperior Dental Care Inc.300418Agent - Health9/17/2024 
InactiveTime Insurance Company300683Agent - Health1/9/201311/15/2019
InactiveTime Insurance Company300683Agent - Life1/9/201311/15/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health10/10/201911/30/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life10/10/201911/30/2023
ActiveUnited of Omaha Life Insurance Company300156Agent - Health10/1/2021 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life10/1/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/11/2010 
ActiveUnitedHealthcare Insurance Company300946Agent - Life5/11/2010 
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/26/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/26/201511/4/2016
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/11/2010 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/18/2019 
InactiveUnum Insurance Company301499Agent - Health10/10/201911/30/2023
InactiveUnum Insurance Company301499Agent - Life10/10/201911/30/2023
ActiveVision Service Plan Insurance Company300526Agent - Health4/8/2013 
ActiveWellpoint Life and Health Insurance Company300469Agent - Health9/14/2016 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life9/14/2016 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAdams, Charles Moore 360371Agent - Health8/20/2012 
ActiveAdams, Charles Moore 360371Agent - Life8/20/2012 
ActiveAdams, William T 391151Agent - Health8/20/2012 
ActiveAdams, William T 391151Agent - Life8/20/2012 
ActiveAllison, Paul A 334289Agent - Health10/14/2015 
ActiveAllison, Paul A 334289Agent - Life10/14/2015 
InactiveAlphin, Brandon 947020Agent - Health4/22/20204/1/2022
InactiveAlphin, Brandon 947020Agent - Life4/22/20204/1/2022
DeniedAmidei, Constance 923128Agent - Health  
DeniedAmidei, Constance 923128Agent - Life  
InactiveAnderson, Christian Tourner 806096Agent - Health1/23/20158/31/2017
InactiveAnderson, Christian Tourner 806096Agent - Life1/23/20158/31/2017
ActiveBeck, Paula Jo 630511Agent - Health5/3/2016 
ActiveBeck, Paula Jo 630511Agent - Life5/3/2016 
InactiveBee, Austin D 389258Agent - Health5/16/201611/15/2017
InactiveBee, Austin D 389258Agent - Life5/16/201611/15/2017
ActiveBisinger, Margaret Ann 354116Agent - Health3/26/2012 
InactiveBisinger, Margaret Ann 354116Agent - Life3/26/20124/15/2025
ActiveBlain, Bradford Hart 386773Agent - Health10/14/2011 
ActiveBlain, Bradford Hart 386773Agent - Life10/14/2011 
InactiveBow, Larry D 323886Agent - Health11/2/20118/1/2023
InactiveBow, Larry D 323886Agent - Life11/2/20118/1/2023
ActiveBowman, Kelli L 726903Agent - Health3/26/2012 
ActiveBowman, Kelli L 726903Agent - Life3/26/2012 
InactiveBragg, Jeffery Shane 725194Agent - Health5/17/201311/1/2014
InactiveBragg, Jeffery Shane 725194Agent - Life5/17/201311/1/2014
ActiveBrant, Matthew David 832713Agent - Health3/24/2014 
ActiveBrant, Matthew David 832713Agent - Life3/24/2014 
DeniedBrewer, Caitlin Jill 863485Agent - Health  
ActiveBridwell, Billy W 728517Agent - Health5/13/2011 
ActiveBridwell, Billy W 728517Agent - Life5/13/2011 
ActiveBurkhalter, Jaclyn Ann 910286Agent - Health5/13/2016 
ActiveBurkhalter, Jaclyn Ann 910286Agent - Life5/20/2016 
InactiveCampbell, Michael Lindsay 386630Agent - Health3/19/20125/1/2023
InactiveCampbell, Michael Lindsay 386630Agent - Life3/19/20125/1/2023
InactiveCarpenter, Amy Elizabeth 618825Agent - Health8/6/20181/31/2020
InactiveCarpenter, Amy Elizabeth 618825Agent - Life8/6/20181/31/2020
DeniedCasey, Kathryn 806162Agent - Health  
DeniedCasey, Kathryn 806162Agent - Life  
ActiveCheese, David Ray 374047Agent - Health9/14/2011 
ActiveCheese, David Ray 374047Agent - Life9/14/2011 
InactiveChristenson, Ted Allen 343969Agent - Health4/3/20125/15/2014
InactiveChristenson, Ted Allen 343969Agent - Life4/3/20127/1/2015
ActiveClarke, Charles Jordan 313710Agent - Health10/6/2011 
ActiveClarke, Charles Jordan 313710Agent - Life10/6/2011 
ActiveClarke, David Anderson 518269Agent - Health6/28/2021 
ActiveClarke, David Anderson 518269Agent - Life11/2/2011 
ActiveCoffey, Kenneth Dean 325120Agent - Health1/17/2019 
ActiveCoffey, Kenneth Dean 325120Agent - Life1/17/2019 
DeniedConnor, Megan Elizabeth 614022Agent - Health  
DeniedConnor, Megan Elizabeth 614022Agent - Life  
InactiveCountryman, Peter B 703479Agent - Health3/27/20127/31/2012
InactiveCountryman, Peter B 703479Agent - Life3/27/20127/31/2012
ActiveDavis, Scott A 728518Agent - Health5/11/2011 
ActiveDavis, Scott A 728518Agent - Life5/11/2011 
InactiveDawson, Thomas Clark 311836Agent - Health7/16/20126/30/2023
InactiveDawson, Thomas Clark 311836Agent - Life7/16/20126/30/2023
DeniedDe Souza, Joni C 781163Agent - Health  
DeniedDe Souza, Joni C 781163Agent - Life  
InactiveDever, Joseph C 329398Agent - Health10/14/201510/1/2022
InactiveDever, Joseph C 329398Agent - Life10/14/201510/1/2022
InactiveDrescher, Don Reeder 312839Agent - Health3/19/20122/1/2016
InactiveDrescher, Don Reeder 312839Agent - Life3/19/20122/1/2016
ActiveDuff, Mary Rachelle 502100Agent - Health4/24/2017 
ActiveDuff, Mary Rachelle 502100Agent - Life4/24/2017 
InactiveEisenback, Candy Lea 388054Agent - Health3/19/20127/31/2021
InactiveEisenback, Candy Lea 388054Agent - Life3/19/20127/31/2021
ActiveFunkhouser, John Albert 381505Agent - Health9/14/2011 
ActiveFunkhouser, John Albert 381505Agent - Life9/14/2011 
ActiveGentry, Stanley Wayne 340895Agent - Health10/19/2015 
ActiveGentry, Stanley Wayne 340895Agent - Life10/19/2015 
InactiveGoodpaster, Isaac Stephen 641453Agent - Health1/30/20121/31/2022
InactiveGoodpaster, Isaac Stephen 641453Agent - Life1/30/20121/31/2022
ActiveHartin, Dennis Scott 385639Agent - Health5/30/2018 
ActiveHartin, Dennis Scott 385639Agent - Life5/30/2018 
ActiveHawkins, John Sidney 660129Agent - Health1/9/2013 
ActiveHawkins, John Sidney 660129Agent - Life1/9/2013 
InactiveHayes, Kenton Rogers 391241Agent - Health4/19/20121/31/2018
InactiveHayes, Kenton Rogers 391241Agent - Life4/19/20121/31/2018
InactiveHedgspeth, Glen Alan 351146Agent - Health4/3/20126/1/2014
InactiveHedgspeth, Glen Alan 351146Agent - Life4/3/20126/1/2014
ActiveHennessey, Alan Wayne 313289Agent - Health10/14/2015 
ActiveHennessey, Alan Wayne 313289Agent - Life10/14/2015 
ActiveHennessey, Chad Alan 518424Agent - Health10/14/2015 
ActiveHennessey, Chad Alan 518424Agent - Life10/14/2015 
ActiveHoffman, Jouett Miller 391681Agent - Health5/28/2020 
ActiveHoffman, Jouett Miller 391681Agent - Life5/28/2020 
ActiveHunt, Phillip Dale 341787Agent - Health10/8/2015 
ActiveHunt, Phillip Dale 341787Agent - Life10/8/2015 
ActiveIsom, Larry Henry 339026Agent - Health2/4/2015 
ActiveIsom, Larry Henry 339026Agent - Life2/4/2015 
ActiveJohnson, Allison Torstrick 577968Agent - Health4/29/2020 
ActiveJohnson, Allison Torstrick 577968Agent - Life4/29/2020 
InactiveJohnson, Michael G 514914Agent - Health3/25/20213/13/2023
InactiveJohnson, Michael G 514914Agent - Life3/25/20213/13/2023
Pending ReplacementJones, Barbara A 386867Agent - Health7/8/2015 
Pending ReplacementJones, Barbara A 386867Agent - Life7/8/2015 
InactiveJones, Christina Lynn 663184Agent - Health4/6/201210/1/2018
InactiveJones, Christina Lynn 663184Agent - Life4/6/201210/1/2018
ActiveJones, Sharon R 326380Agent - Health9/19/2013 
ActiveJones, Sharon R 326380Agent - Life9/19/2013 
DeniedKlein, Susan Marie 978461Agent - Health  
DeniedKlein, Susan Marie 978461Agent - Life  
ActiveLamaster, Drew H 614575Agent - Health10/14/2015 
ActiveLamaster, Drew H 614575Agent - Life10/14/2015 
ActiveLinville, Chad 566307Agent - Health10/6/2011 
ActiveLinville, Chad 566307Agent - Life10/6/2011 
ActiveLinville, Larry Edward 374423Agent - Health10/6/2011 
ActiveLinville, Larry Edward 374423Agent - Life10/6/2011 
ActiveMartin, Pamela Bennett 364606Agent - Health8/26/2016 
ActiveMartin, Pamela Bennett 364606Agent - Life8/26/2016 
ActiveMcgee, Jacob R 919607Agent - Health6/18/2018 
ActiveMcgee, Jacob R 919607Agent - Life6/18/2018 
ActiveMcgowan, Hugh M 724014Agent - Health12/21/2012 
ActiveMcgowan, Hugh M 724014Agent - Life12/21/2012 
InactiveMedaris, Kenneth Foster 392615Agent - Health9/14/20116/30/2021
InactiveMedaris, Kenneth Foster 392615Agent - Life9/14/20116/30/2021
InactiveMeena, Elias David 354643Agent - Health7/16/20122/26/2016
InactiveMeena, Elias David 354643Agent - Life7/16/20122/26/2016
InactiveMiller, Sue Cole 375289Agent - Health10/14/201112/18/2018
InactiveMiller, Sue Cole 375289Agent - Life10/14/201112/18/2018
InactiveOsborne, Kerry Marie 345509Agent - Health10/14/201511/15/2017
InactiveOsborne, Kerry Marie 345509Agent - Life10/14/201511/15/2017
ActivePapp, Jonathan Paul 724582Agent - Health5/11/2011 
ActivePapp, Jonathan Paul 724582Agent - Life5/11/2011 
ActivePavy, Traci L 707685Agent - Health9/21/2012 
ActivePavy, Traci L 707685Agent - Life9/21/2012 
InactivePetty, Pamela S 522633Agent - Health10/12/20117/1/2019
InactivePetty, Pamela S 522633Agent - Life10/12/20117/1/2019
ActivePratt, Michael J 604101Agent - Health11/29/2012 
ActivePratt, Michael J 604101Agent - Life11/29/2012 
ActiveQuinn, Cody J 852945Agent - Health7/27/2016 
ActiveQuinn, Cody J 852945Agent - Life7/27/2016 
InactiveRamsay, Alan James 331941Agent - Health11/1/20118/1/2024
InactiveRamsay, Alan James 331941Agent - Life11/1/20118/1/2024
ActiveReddy, Michael Sheridan 322307Agent - Health11/12/2009 
ActiveReddy, Michael Sheridan 322307Agent - Life11/12/2009 
InactiveReynolds, Christopher Wyatt 348006Agent - Health5/3/20134/30/2015
InactiveReynolds, Christopher Wyatt 348006Agent - Life5/3/20134/30/2015
ActiveRowland, Bart Thomas 311859Agent - Health1/13/2012 
ActiveRowland, Bart Thomas 311859Agent - Life1/13/2012 
ActiveRowland, Gary Thomas 363047Agent - Health1/13/2012 
ActiveRowland, Gary Thomas 363047Agent - Life1/13/2012 
InactiveShelton, Ross A 860726Agent - Health2/28/201612/16/2024
InactiveShelton, Ross A 860726Agent - Life2/28/20168/30/2023
InactiveShubert, Steven Harold 696161Agent - Health3/19/20123/17/2023
InactiveShubert, Steven Harold 696161Agent - Life3/19/20123/17/2023
ActiveSmith, Adam P 747479Agent - Health10/10/2014 
ActiveSmith, Adam P 747479Agent - Life10/10/2014 
ActiveSmith, Darin 518601Agent - Health10/14/2015 
ActiveSmith, Darin 518601Agent - Life10/14/2015 
ActiveSmith, Marvin 366231Agent - Health9/1/2015 
ActiveSmith, Marvin 366231Agent - Life9/1/2015 
ActiveSparkman, Dillard Duran 654851Agent - Health10/8/2015 
ActiveSparkman, Dillard Duran 654851Agent - Life10/8/2015 
InactiveStevens, Heather Lynn 843949Agent - Health6/17/20191/31/2022
InactiveStevens, Heather Lynn 843949Agent - Life6/17/20191/31/2022
InactiveSutman, Alesia Dawn 597272Agent - Health2/26/201610/2/2017
InactiveSutman, Alesia Dawn 597272Agent - Life2/26/201610/2/2017
InactiveSwank, Diane E 595048Agent - Life10/14/20153/8/2018
ActiveTillett, Shelly Jean 303576Agent - Health11/3/2014 
ActiveTillett, Shelly Jean 303576Agent - Life11/3/2014 
InactiveTracy, Sherry M 539750Agent - Health3/26/20127/10/2013
InactiveTracy, Sherry M 539750Agent - Life3/26/20127/10/2013
InactiveTravis, Paul B. 736745Agent - Health11/1/20118/9/2016
InactiveTravis, Paul B. 736745Agent - Life11/1/20118/9/2016
InactiveWelsh, Ashley Dean 629555Agent - Health3/26/20128/22/2012
InactiveWelsh, Ashley Dean 629555Agent - Life3/26/20128/22/2012
ActiveWilliams, Michael Wilson 359936Agent - Health3/13/2015 
ActiveWilliams, Michael Wilson 359936Agent - Life3/13/2015 
ActiveWoods, Mark Christopher 858813Agent - Health10/8/2015 
InactiveWorthington, Richard Alan 356331Agent - Health7/8/20153/31/2022
InactiveWorthington, Richard Alan 356331Agent - Life7/8/20153/31/2022

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