DEPARTMENT OF INSURANCE

Affiliations

Name	General Insurance Services, Inc	DOIID	736361	NAIC NPN	957808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/7/2010	3/31/2026
Active	Non Resident	Agent	Health	5/14/2024	3/31/2026
Active	Non Resident	Agent	Life	5/14/2024	3/31/2026
Active	Non Resident	Agent	Property	9/7/2010	3/31/2026
* 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	5/17/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	5/17/2024
Inactive	American Economy Insurance Company	300315	Agent - Casualty	12/28/2021	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	12/28/2021	3/29/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/9/2016	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/9/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/9/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/9/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/9/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/9/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/9/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/9/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/8/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	7/8/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	9/23/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	9/23/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/23/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	9/23/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/20/2025
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/20/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/22/2022	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/22/2022	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/28/2021	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/28/2021	3/29/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/17/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/16/2024	3/2/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/16/2024	3/2/2025
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	7/8/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Domazet, Stephanie Claire	1368630	Agent - Casualty
Denied	Domazet, Stephanie Claire	1368630	Agent - Health
Denied	Domazet, Stephanie Claire	1368630	Agent - Life
Denied	Domazet, Stephanie Claire	1368630	Agent - Property
Active	Gibson, Eric Scott	1340154	Agent - Health	5/14/2024
Active	Gibson, Eric Scott	1340154	Agent - Life	5/14/2024
Active	Keene, Charles Andrew	506103	Agent - Casualty	9/7/2010
Active	Keene, Charles Andrew	506103	Agent - Property	9/7/2010
Active	Menne, James Craig	1349638	Agent - Health	7/24/2024
Active	Menne, James Craig	1349638	Agent - Life	7/11/2024