DEPARTMENT OF INSURANCE

Affiliations

Name	ASD Insurance and Financial Services, LLC	DOIID	743054	NAIC NPN	7113019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/24/2011		3/31/2025
Active	Non Resident	Agent	Health	9/12/2011		3/31/2025
Inactive	Non Resident	Agent	Casualty	10/8/2018	4/1/2022
Inactive	Non Resident	Agent	Property	10/8/2018	4/1/2022
Denied	Non Resident	Life & Health Consultant	Not Applicable
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	3/28/2024
Active	All Savers Insurance Company	301940	Agent - Life	3/28/2024
Inactive	AmGUARD Insurance Company	500010	Agent - Casualty	1/13/2016	6/1/2018
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	4/17/2019	8/2/2021
Inactive	AmTrust Insurance Company	300179	Agent - Property	4/17/2019	8/2/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/19/2011	8/7/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/25/2011	8/7/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/22/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/22/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	2/22/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	2/22/2023
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	5/14/2024
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/14/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/1/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/1/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/6/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/6/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/3/2014	8/22/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/3/2014	8/22/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/8/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/8/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	4/15/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/19/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/19/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Health	7/8/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Life	7/8/2024
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	4/17/2019	8/2/2021
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	4/17/2019	8/2/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	5/17/2024
Inactive	NorGUARD Insurance Company	500015	Agent - Casualty	1/13/2016	6/1/2018
Inactive	Park National Insurance Company	692514	Agent - Casualty	4/17/2019	8/2/2021
Inactive	Park National Insurance Company	692514	Agent - Property	4/17/2019	8/2/2021
Active	Principal Life Insurance Company	300129	Agent - Health	5/22/2024
Active	Principal Life Insurance Company	300129	Agent - Life	5/22/2024
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	5/1/2024
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	5/1/2024
Inactive	Security National Insurance Company	301151	Agent - Casualty	4/17/2019	8/2/2021
Inactive	Security National Insurance Company	301151	Agent - Property	4/17/2019	8/2/2021
Inactive	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020	8/2/2021
Inactive	Sequoia Insurance Company	628046	Agent - Property	5/5/2020	8/2/2021
Active	Standard Insurance Company	300185	Agent - Health	3/25/2024
Active	Standard Insurance Company	300185	Agent - Life	3/25/2024
Inactive	Technology Insurance Company	613278	Agent - Casualty	4/17/2019	8/2/2021
Inactive	Technology Insurance Company	613278	Agent - Property	4/17/2019	8/2/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	3/15/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	3/15/2024
Active	United Concordia Insurance Company	903543	Agent - Health	1/30/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/29/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/29/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/28/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/28/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/28/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/28/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/28/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/28/2024
Inactive	Wesco Insurance Company	300534	Agent - Casualty	4/17/2019	8/2/2021
Inactive	Wesco Insurance Company	300534	Agent - Property	4/17/2019	8/2/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brenner, Oren Z	616466	Agent - Casualty	8/24/2011	3/31/2018
Inactive	Brenner, Oren Z	616466	Agent - Property	8/24/2011	3/31/2018
Inactive	Dinapoli, Linda Marie	1000458	Agent - Casualty	10/8/2018	1/31/2022
Inactive	Dinapoli, Linda Marie	1000458	Agent - Property	10/8/2018	1/31/2022
Inactive	Gomes, Michael Anthony	667170	Agent - Health	12/14/2012	6/18/2018
Inactive	Gomes, Michael Anthony	667170	Agent - Life	12/14/2012	6/18/2018
Inactive	Nahacky, John Edward	560787	Agent - Life	8/24/2011	3/31/2015
Inactive	Stiller, Tiffany Eileen	884307	Agent - Health	8/17/2018	7/13/2022
Inactive	Stiller, Tiffany Eileen	884307	Agent - Life	8/17/2018	7/13/2022
Inactive	Yarish, Jeff Glenn	761963	Agent - Health	9/12/2011	12/14/2012
Inactive	Yarish, Jeff Glenn	761963	Agent - Life	9/12/2011	12/14/2012
Active	Zelewicz, Jamie Anthony	646756	Agent - Health	7/13/2022
Active	Zelewicz, Jamie Anthony	646756	Agent - Life	7/13/2022