DEPARTMENT OF INSURANCE

Affiliations

Name	Amac Senior Resources Network	DOIID	749465	NAIC NPN	16123429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/8/2011	3/31/2025
Active	Non Resident	Agent	Health	3/8/2011	3/31/2025
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/9/2012
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/27/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/9/2012
Active	Aetna Life Insurance Company	301140	Agent - Life	2/9/2012
Inactive	American Continental Insurance Company	643130	Agent - Health	6/16/2011	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	11/27/2017	8/11/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/19/2016
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/19/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/14/2019	12/22/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	5/30/2013	12/24/2015
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/25/2014
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/21/2017
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	4/21/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	4/21/2017
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/18/2017	12/15/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/24/2014
Active	Cigna National Health Insurance Company	300235	Agent - Health	6/7/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/24/2013	3/14/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/27/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/16/2011	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/18/2016	12/19/2019
Inactive	Everest Reinsurance Company	301836	Agent - Health	10/18/2016	10/14/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/1/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/18/2012	12/22/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/18/2012	12/22/2014
Active	Heartland National Life Insurance Company	948749	Agent - Health	5/30/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/21/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/9/2018	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2014	12/19/2019
Active	Humana Insurance Company	301104	Agent - Health	1/21/2014
Active	Humana Insurance Company	301104	Agent - Life	9/29/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/25/2014	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/1/2016	12/19/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	8/7/2012	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	8/7/2012	12/4/2020
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/25/2023
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	5/28/2015	4/18/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	5/28/2015	4/18/2018
Inactive	Medico Insurance Company	301559	Agent - Health	5/28/2015	12/26/2018
Inactive	Medico Insurance Company	301559	Agent - Life	5/28/2015	12/26/2018
Active	National Health Insurance Company	300554	Agent - Health	7/16/2022
Active	National Health Insurance Company	300554	Agent - Life	7/16/2022
Active	SilverScript Insurance Company	663526	Agent - Health	3/13/2015
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	7/6/2016	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	7/6/2016	12/26/2018
Inactive	Starmount Life Insurance Company	628031	Agent - Health	5/22/2015	4/1/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Life	5/22/2015	4/1/2020
Active	Tier One Insurance Company	301056	Agent - Health	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Life	5/8/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/24/2015	12/30/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/3/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joosten, Colleen Marie	992300	Agent - Health	3/17/2020	1/31/2024
Inactive	Joosten, Colleen Marie	992300	Agent - Life	3/17/2020	1/31/2024
Active	Keiffert, Rebecca R	747792	Agent - Health	9/20/2011
Active	Keiffert, Rebecca R	747792	Agent - Life	9/20/2011
Inactive	Rae, Paul J	710690	Agent - Health	3/8/2011	9/20/2011
Inactive	Rae, Paul J	710690	Agent - Life	3/8/2011	9/20/2011