DEPARTMENT OF INSURANCE
Affiliations
NameKeystone Ins & Benefits Group LLCDOIID716920NAIC NPN14298459
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/30/2009 3/31/2025
ActiveNon ResidentAgentLife10/30/2009 3/31/2025
* 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
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 
InactiveAmerican Heritage Life Insurance Company300272Agent - Health1/16/20158/7/2017
InactiveAmerican Heritage Life Insurance Company300272Agent - Life1/16/20158/7/2017
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 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health12/17/2010 
ActiveAnthem Life Insurance Company301209Agent - Life12/17/2010 
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
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 
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 
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 
ActiveBisinger, Margaret Ann 354116Agent - Life3/26/2012 
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
ActiveJones, Barbara A 386867Agent - Health7/8/2015 
ActiveJones, 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 
ActiveRamsay, Alan James 331941Agent - Health11/1/2011 
ActiveRamsay, Alan James 331941Agent - Life11/1/2011 
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 
ActiveShelton, Ross A 860726Agent - Health2/28/2016 
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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