DEPARTMENT OF INSURANCE
Affiliations
NameNational Employer Solutions Team LLCDOIID757783NAIC NPN16286072
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth8/5/2011 3/31/2027
ActiveResidentAgentLife8/5/2011 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health12/16/20134/24/2017
InactiveAetna Life Insurance Company301140Agent - Health12/16/20134/24/2017
ActiveAll Savers Insurance Company301940Agent - Health1/17/2023 
ActiveAll Savers Insurance Company301940Agent - Life1/17/2023 
ActiveAmerican United Life Insurance Company300498Agent - Health1/13/2016 
ActiveAmerican United Life Insurance Company300498Agent - Life1/13/2016 
ActiveBanner Life Insurance Company301696Agent - Life4/6/2017 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/24/201612/27/2022
InactiveCIGNA Health & Life Insurance Company301783Agent - Life11/8/201612/27/2022
ActiveCombined Insurance Company of America301472Agent - Health5/10/2023 
ActiveCombined Insurance Company of America301472Agent - Life5/10/2023 
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/16/20134/24/2017
InactiveCoventry Health and Life Insurance Company301771Agent - Life12/16/20134/24/2017
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/22/20166/4/2018
ActiveFidelity Security Life Insurance Company300466Agent - Health2/17/2015 
ActiveFidelity Security Life Insurance Company300466Agent - Life2/17/2015 
InactiveGrange Life Insurance Company300128Agent - Health3/21/20143/31/2021
InactiveGrange Life Insurance Company300128Agent - Life3/21/20143/31/2021
ActiveHealthSpring National Health Insurance Company300235Agent - Health1/5/2023 
InactiveKentucky Health Cooperative, Inc.798780Agent - Health3/3/201410/29/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/7/201910/11/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/7/201910/11/2019
ActiveLoyal American Life Insurance Company301172Agent - Health9/3/2024 
ActiveLoyal American Life Insurance Company301172Agent - Life9/3/2024 
ActiveMinnesota Life Insurance Company300488Agent - Health4/21/2022 
ActiveMinnesota Life Insurance Company300488Agent - Life4/21/2022 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/7/20164/12/2018
ActivePrincipal National Life Insurance Company301926Agent - Life9/6/2017 
InactivePruco Life Insurance Company300954Agent - Life9/21/201711/25/2020
ActiveReliance Standard Life Insurance Company300584Agent - Health2/17/2015 
ActiveReliance Standard Life Insurance Company300584Agent - Life2/17/2015 
ActiveStandard Insurance Company300185Agent - Health6/23/2016 
ActiveStandard Insurance Company300185Agent - Life6/23/2016 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/24/201712/17/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/24/201712/17/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/24/201712/17/2024
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/1/2023 
ActiveWashington National Insurance Company300587Agent - Health8/10/2011 
ActiveWashington National Insurance Company300587Agent - Life8/10/2011 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDeatherage, Gerald Holton 391645Agent - Health8/5/2011 
ActiveDeatherage, Gerald Holton 391645Agent - Life8/5/2011 

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