DEPARTMENT OF INSURANCE

Affiliations

Name	American Senior Choices	DOIID	755344	NAIC NPN	16236373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/31/2011	3/31/2015
Inactive	Non Resident	Agent	Life	5/31/2011	3/31/2015
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/28/2012	3/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/28/2012	3/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/28/2012	3/31/2015
Inactive	American Continental Insurance Company	643130	Agent - Health	10/11/2011	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	10/11/2011	11/12/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/19/2012	6/6/2013
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	11/22/2011	6/6/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/13/2012	3/31/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/17/2012	3/31/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/17/2012	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	3/31/2015
Inactive	Family Life Insurance Company	300356	Agent - Health	8/8/2011	6/21/2013
Inactive	Family Life Insurance Company	300356	Agent - Life	8/8/2011	3/31/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/17/2011	12/10/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/17/2011	12/10/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/27/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/27/2011	12/26/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2011	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2011	3/31/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2011	3/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2011	3/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2011	3/31/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/27/2011	12/31/2012
Inactive	Medico Insurance Company	301559	Agent - Health	10/5/2011	9/12/2013
Inactive	Medico Insurance Company	301559	Agent - Life	10/5/2011	9/12/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/19/2011	11/4/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/11/2011	11/18/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Life	10/11/2011	11/18/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2011	4/8/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/19/2011	4/8/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kimble, Benjamin Ryan	505215	Agent - Health	5/31/2011	3/31/2015
Inactive	Kimble, Benjamin Ryan	505215	Agent - Life	5/31/2011	3/31/2015