DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Financial Advisors	DOIID	761546	NAIC NPN	16324333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/22/2011	3/31/2025
Active	Non Resident	Agent	Life	8/22/2011	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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/18/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/23/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/18/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	12/18/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	11/19/2013
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/19/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	4/23/2020	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/2/2012	11/12/2013
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/27/2022
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/23/2012	8/13/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/24/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/23/2020
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/18/2017
Inactive	Independent Order of Foresters	300743	Agent - Life	9/14/2011	2/9/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/5/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/5/2016
Active	Pacific Life Insurance Company	301848	Agent - Health	1/2/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	1/2/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	12/3/2014
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/24/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/24/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Roby, Larry Dale	316716	Agent - Health	8/22/2011
Active	Roby, Larry Dale	316716	Agent - Life	8/22/2011