DEPARTMENT OF INSURANCE
Affiliations
NameAmac Senior Resources NetworkDOIID749465NAIC NPN16123429
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/8/2011 3/31/2027
ActiveNon ResidentAgentHealth3/8/2011 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health11/22/2024 
InactiveAccendo Insurance Company300312Agent - Life6/10/202012/19/2025
ActiveAetna Health Inc. (PA)660717Agent - Health2/9/2012 
ActiveAetna Health and Life Insurance Company300523Agent - Health11/27/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/9/2012 
ActiveAetna Life Insurance Company301140Agent - Life2/9/2012 
InactiveAmerican Continental Insurance Company643130Agent - Health6/16/201111/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life11/27/20178/11/2021
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/19/2016 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/19/2016 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health11/14/201912/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/30/201312/24/2015
ActiveAmeritas Life Insurance Corporation300126Agent - Health11/25/2014 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/21/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health4/21/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life4/21/20174/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/18/201712/15/2020
ActiveCIGNA Health & Life Insurance Company301783Agent - Health3/24/2014 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/24/20133/14/2019
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/27/2017 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/16/201111/10/2014
InactiveDental Concern Inc. (The)301641Agent - Health8/18/201612/19/2019
InactiveEverest Reinsurance Company301836Agent - Health10/18/201610/14/2021
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/1/2013 
InactiveForethought Life Insurance Company301407Agent - Health10/18/201212/22/2014
InactiveForethought Life Insurance Company301407Agent - Life10/18/201212/22/2014
ActiveHealthSpring Life and Health Insurance Company, Inc.684899Agent - Health4/10/2025 
ActiveHealthSpring National Health Insurance Company300235Agent - Health6/7/2022 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health4/10/2025 
ActiveHeartland National Life Insurance Company948749Agent - Health5/30/2019 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health8/21/201512/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/9/201812/15/2020
InactiveHumana Health Plan, Inc.300142Agent - Health7/25/201412/19/2019
ActiveHumana Insurance Company301104Agent - Health1/21/2014 
ActiveHumana Insurance Company301104Agent - Life9/29/2017 
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/25/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/201612/19/2019
ActiveInsurance Company of North America300226Agent - Health9/7/2025 
InactiveMadison National Life Insurance Company Inc.301458Agent - Health8/7/201212/4/2020
InactiveMadison National Life Insurance Company Inc.301458Agent - Life8/7/201212/4/2020
ActiveMedco Containment Life Insurance Company301557Agent - Health10/25/2023 
ActiveMedico Corp Life Insurance Company301777Agent - Health11/12/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life11/12/2025 
InactiveMedico Insurance Company301559Agent - Health5/28/201512/26/2018
InactiveMedico Insurance Company301559Agent - Life5/28/201512/26/2018
ActiveNational Health Insurance Company300554Agent - Health7/16/2022 
ActiveNational Health Insurance Company300554Agent - Life7/16/2022 
ActiveSilverScript Insurance Company663526Agent - Health3/13/2015 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health7/6/201612/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life7/6/201612/26/2018
InactiveStarmount Life Insurance Company628031Agent - Health5/22/20154/1/2020
InactiveStarmount Life Insurance Company628031Agent - Life5/22/20154/1/2020
ActiveTier One Insurance Company301056Agent - Health5/8/2023 
ActiveTier One Insurance Company301056Agent - Life5/8/2023 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/24/201512/30/2015
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health2/3/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveArchuleta, Jonathan David 1008954Agent - Health6/27/2025 
ActiveBabits, Edward S 1406255Agent - Health6/23/2025 
ActiveBabits, Edward S 1406255Agent - Life6/26/2025 
InactiveBishop Campbell, Alison 833388Agent - Health5/2/20253/12/2026
InactiveBishop Campbell, Alison 833388Agent - Life5/2/20253/12/2026
ActiveBowden, Shamera 1303613Agent - Health3/27/2025 
InactiveBowden, Shamera 1303613Agent - Life3/27/202512/19/2025
ActiveCaldwell, Joseph R 1406645Agent - Health6/24/2025 
ActiveCaldwell, Joseph R 1406645Agent - Life7/7/2025 
ActiveCameron, Deanna J 1014821Agent - Health4/16/2025 
ActiveCameron, Deanna J 1014821Agent - Life4/16/2025 
ActiveCameron, Megan Elizabeth 1406615Agent - Health6/24/2025 
DeniedCameron, Megan Elizabeth 1406615Agent - Life  
ActiveCrehan, Jessica 1406321Agent - Health6/24/2025 
ActiveCrehan, Jessica 1406321Agent - Life6/24/2025 
ActiveCromer, Mackensie A 1450443Agent - Health3/11/2026 
ActiveCromer, Mackensie A 1450443Agent - Life3/10/2026 
ActiveDe Angelis, Robert A 921336Agent - Health11/4/2025 
ActiveDe Angelis, Robert A 921336Agent - Life11/4/2025 
ActiveElcombe, Robert T 1352252Agent - Health5/7/2025 
ActiveElcombe, Robert T 1352252Agent - Life5/7/2025 
PendingGay, Brian 833384Agent - Health  
PendingGay, Brian 833384Agent - Life  
ActiveGlowacki, Karen A 1393306Agent - Health4/8/2025 
ActiveGlowacki, Karen A 1393306Agent - Life5/15/2025 
InactiveHohsfield, Angela R 1406984Agent - Health6/27/20257/23/2025
DeniedHohsfield, Angela R 1406984Agent - Life  
ActiveHohsfield, Carl F 1085107Agent - Health5/2/2025 
DeniedHohsfield, Carl F 1085107Agent - Life  
InactiveJoosten, Colleen Marie 992300Agent - Health3/17/20201/31/2024
InactiveJoosten, Colleen Marie 992300Agent - Life3/17/20201/31/2024
ActiveJordan, Diana 784911Agent - Health3/27/2025 
ActiveJordan, Diana 784911Agent - Life3/27/2025 
ActiveKeiffert, Greg 785665Agent - Health3/27/2025 
ActiveKeiffert, Greg 785665Agent - Life3/27/2025 
ActiveKeiffert, Rebecca R 747792Agent - Health9/20/2011 
ActiveKeiffert, Rebecca R 747792Agent - Life9/20/2011 
ActiveLandrum, Melinda 930641Agent - Health6/27/2025 
DeniedLandrum, Melinda 930641Agent - Life  
ActiveLossing, David Osborne 910653Agent - Health5/6/2025 
ActiveLossing, David Osborne 910653Agent - Life5/6/2025 
ActiveMacdonald, Ashley Beatrice 1134825Agent - Health9/12/2025 
ActiveMacdonald, Ashley Beatrice 1134825Agent - Life9/12/2025 
ActiveMacdonald, Kathy L 1447560Agent - Health2/15/2026 
ActiveMacdonald, Kathy L 1447560Agent - Life3/3/2026 
ActiveMartinez, Marcus Andrew 1197310Agent - Health5/2/2025 
PendingMasciantonio, Carmen J 1463163Agent - Health  
PendingMasciantonio, Carmen J 1463163Agent - Life  
ActiveMcdonald, Laney Nicole 1406965Agent - Health6/27/2025 
ActiveMoneagle, Edward Earl 930996Agent - Health5/2/2025 
ActiveParadise, Kyla 1406611Agent - Health6/24/2025 
DeniedParadise, Kyla 1406611Agent - Life  
ActivePortillo, Tanya E 1406937Agent - Health6/26/2025 
InactiveRae, Paul J 710690Agent - Health3/8/20119/20/2011
InactiveRae, Paul J 710690Agent - Life3/8/20119/20/2011
ActiveRiss, Daniel 1029616Agent - Health5/6/2025 
ActiveRiss, Daniel 1029616Agent - Life5/6/2025 
ActiveRzepka, Deborah 913148Agent - Health5/7/2025 
ActiveRzepka, Deborah 913148Agent - Life5/7/2025 
ActiveSalvador, Alba Lucy 1406332Agent - Health6/24/2025 
ActiveSalvador, Alba Lucy 1406332Agent - Life6/27/2025 
ActiveSchloss, Donna E 1406258Agent - Health6/23/2025 
ActiveShayne, Glenn David 849857Agent - Health5/7/2025 
ActiveShayne, Glenn David 849857Agent - Life5/7/2025 
ActiveSmith, Cheryl A 1406327Agent - Health6/24/2025 
ActiveSmith, Cheryl A 1406327Agent - Life6/24/2025 
ActiveWard, Noah M 1406989Agent - Health6/27/2025 
ActiveWard, Noah M 1406989Agent - Life7/30/2025 
ActiveWilburth, Danati A 1406708Agent - Health6/25/2025 
ActiveWilburth, Danati A 1406708Agent - Life7/7/2025 
ActiveWilson, Pamela Ann 1406609Agent - Health6/24/2025 
DeniedWilson, Pamela Ann 1406609Agent - Life  
InactiveYoder, Brandon 1310013Agent - Health8/21/20253/12/2026
DeniedYoder, Brandon 1310013Agent - Life  
ActiveZamora, Michael L 1256527Agent - Health3/27/2025 

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