DEPARTMENT OF INSURANCE
Affiliations
NameEmpower Financial Group LLCDOIID760421NAIC NPN16335872
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/21/2012 3/31/2025
ActiveResidentAgentCasualty3/21/2012 3/31/2025
ActiveResidentAgentHealth8/8/2011 3/31/2025
ActiveResidentAgentLife8/8/2011 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health10/25/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health10/25/2023 
ActiveAetna Life Insurance Company301140Agent - Health10/25/2023 
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/24/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/24/2024 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/2/201512/20/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/16/20164/9/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/16/20164/9/2019
InactiveAmerican General Life Insurance Company301585Agent - Health12/27/201112/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life12/27/201112/20/2013
InactiveAssurity Life Insurance Company301099Agent - Health6/20/201312/8/2014
InactiveAssurity Life Insurance Company301099Agent - Life6/20/201312/8/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Life9/26/20138/13/2015
InactiveAthene Annuity and Life Company301893Agent - Life11/6/201712/6/2021
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty11/13/2018 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property11/13/2018 
ActiveBanner Life Insurance Company301696Agent - Life9/27/2012 
ActiveBristol West Insurance Company301655Agent - Casualty11/5/2018 
ActiveBristol West Insurance Company301655Agent - Property11/5/2018 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty12/20/2012 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property12/20/2012 
ActiveCSAA General Insurance Company606675Agent - Casualty12/20/2012 
ActiveCSAA General Insurance Company606675Agent - Property12/20/2012 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health12/4/2019 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
InactiveColumbian Life Insurance Company300810Agent - Life12/22/20163/31/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health11/12/20164/10/2018
ActiveDental Care Plus Inc.301495Agent - Health10/12/2015 
InactiveDental Concern Inc. (The)301641Agent - Health11/8/20164/10/2018
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty5/15/2018 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property5/15/2018 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/14/2012 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/14/2012 
InactiveGenworth Life Insurance Company300623Agent - Health2/13/201212/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life2/13/201212/7/2012
InactiveGrange Indemnity Insurance Company300793Agent - Casualty1/25/20193/3/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property1/25/20193/3/2020
InactiveGrange Insurance Company300234Agent - Casualty1/25/20193/3/2020
InactiveGrange Insurance Company300234Agent - Property1/25/20193/3/2020
InactiveGrange Life Insurance Company300128Agent - Health4/4/20193/31/2021
InactiveGrange Life Insurance Company300128Agent - Life4/4/20193/31/2021
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty1/25/20193/3/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property1/25/20193/3/2020
ActiveGuaranty Income Life Insurance Company552451Agent - Health3/14/2019 
ActiveGuaranty Income Life Insurance Company552451Agent - Life3/14/2019 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/8/20164/10/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/8/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health11/8/20164/10/2018
InactiveHumana Insurance Company301104Agent - Health11/8/20164/10/2018
InactiveHumana Insurance Company301104Agent - Life11/8/20164/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/8/20164/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/8/20164/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health11/8/20164/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/8/20164/10/2018
ActiveIntegon Indemnity Corporation300674Agent - Casualty3/31/2022 
ActiveIntegon Indemnity Corporation300674Agent - Property3/31/2022 
ActiveKansas City Life Insurance Company301444Agent - Health4/4/2019 
ActiveKansas City Life Insurance Company301444Agent - Life4/4/2019 
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/20/201410/29/2015
ActiveLife Insurance Company of the Southwest301867Agent - Health9/25/2017 
ActiveLife Insurance Company of the Southwest301867Agent - Life9/25/2017 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20138/10/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20138/10/2021
InactiveMidland National Life Insurance Company300923Agent - Life9/29/201510/13/2021
InactiveMutual of Omaha Insurance Company301012Agent - Health4/4/20126/24/2013
ActiveNational General Insurance Company300152Agent - Casualty7/24/2012 
ActiveNational General Insurance Company300152Agent - Property7/24/2012 
ActiveNational Health Insurance Company300554Agent - Health4/3/2018 
InactiveNational Western Life Insurance Company301515Agent - Life11/5/20136/25/2015
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health7/9/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life7/9/2015 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life11/20/20117/13/2020
InactiveOmaha Insurance Company751908Agent - Health7/24/20126/24/2013
ActivePrincipal National Life Insurance Company301926Agent - Life3/26/2014 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/17/2012 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/17/2012 
InactivePruco Life Insurance Company300954Agent - Life4/7/201412/23/2014
InactiveRLI Insurance Company301217Agent - Casualty9/29/20203/3/2022
InactiveRLI Insurance Company301217Agent - Property9/29/20203/3/2022
InactiveReliaStar Life Insurance Company301712Agent - Health7/31/20139/16/2016
InactiveReliaStar Life Insurance Company301712Agent - Life7/31/20139/16/2016
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/21/20123/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property3/21/20123/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty3/21/20123/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property3/21/20123/29/2024
InactiveSagicor Life Insurance Company300459Agent - Life2/12/201312/18/2014
ActiveSecurity Benefit Life Insurance Company300583Agent - Life9/25/2013 
ActiveSilverScript Insurance Company663526Agent - Health10/25/2023 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty11/13/2018 
ActiveStandard Fire Insurance Company (The)301068Agent - Property11/13/2018 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health2/24/201712/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life2/24/201712/26/2018
InactiveState Life Insurance Company301497Agent - Health9/12/20135/19/2017
InactiveState Life Insurance Company301497Agent - Life9/12/20135/19/2017
InactiveThe Phoenix Insurance Company301502Agent - Casualty11/13/201811/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Property11/13/201811/16/2023
InactiveTime Insurance Company300683Agent - Health4/3/201811/15/2019
InactiveTime Insurance Company300683Agent - Life4/3/201811/15/2019
ActiveTransamerica Life Insurance Company300571Agent - Health1/24/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life1/24/2021 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty11/13/2018 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property11/13/2018 
ActiveTravelers Personal Insurance Company705785Agent - Casualty11/13/2018 
ActiveTravelers Personal Insurance Company705785Agent - Property11/13/2018 
ActiveTrexis Insurance Corporation599902Agent - Casualty11/14/2012 
ActiveTrexis One Insurance Corporation684197Agent - Casualty11/19/2012 
InactiveTrustgard Insurance Company300104Agent - Casualty1/25/20193/3/2020
InactiveTrustgard Insurance Company300104Agent - Property1/25/20193/3/2020
ActiveUnited Financial Casualty Company301886Agent - Casualty10/17/2012 
ActiveUnited Financial Casualty Company301886Agent - Property10/17/2012 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/4/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/4/20126/24/2013
ActiveUnitedHealthcare Insurance Company300946Agent - Health12/26/2017 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health12/26/201712/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health12/26/2017 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health11/10/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAkin, John Kyle 518326Agent - Health8/10/20114/11/2021
Pending ReplacementAkin, John Kyle 518326Agent - Life8/10/2011 
InactiveFuller, Stephanie 871333Agent - Casualty4/8/20156/6/2016
InactiveFuller, Stephanie 871333Agent - Property4/8/20156/6/2016
InactiveHand, Loren James 783847Agent - Casualty8/16/20127/1/2013
InactiveHand, Loren James 783847Agent - Health8/16/20127/1/2013
InactiveHand, Loren James 783847Agent - Life8/16/20127/1/2013
InactiveHand, Loren James 783847Agent - Property8/16/20127/1/2013
ActiveHoward, Jimmy C 600575Agent - Casualty3/21/2012 
ActiveHoward, Jimmy C 600575Agent - Health8/8/2011 
ActiveHoward, Jimmy C 600575Agent - Life8/8/2011 
ActiveHoward, Jimmy C 600575Agent - Property3/21/2012 
InactiveOtt, Eric Eugene 823216Agent - Health12/16/20168/29/2017
InactiveOtt, Eric Eugene 823216Agent - Life12/16/20168/29/2017
InactivePolonczyk, Teeanna J 690026Agent - Casualty8/16/20121/9/2013
InactivePolonczyk, Teeanna J 690026Agent - Health8/16/20121/9/2013
InactivePolonczyk, Teeanna J 690026Agent - Life8/16/20121/9/2013
InactivePolonczyk, Teeanna J 690026Agent - Property8/16/20121/9/2013

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