DEPARTMENT OF INSURANCE

Affiliations

Name	Cusick, Andrew Blandford	DOIID	763566	NAIC NPN	16394257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	7/26/2023	6/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	7/26/2023	6/30/2025
Active	Resident	Agent	Life	7/26/2023	6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	7/1/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/1/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/17/2018	7/1/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/1/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	8/1/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/2/2018	7/1/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/27/2023
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	9/19/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	8/17/2018	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	4/30/2024
Active	American General Life Insurance Company	301585	Agent - Life	4/30/2024
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	4/30/2024
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	7/18/2017	7/1/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/3/2018	4/5/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/15/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/15/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/15/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	9/15/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	9/15/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/29/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	8/1/2018	11/12/2020
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	8/1/2018	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/1/2018	11/12/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/1/2018	11/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/13/2016	11/30/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/13/2016	11/30/2020
Active	Brighthouse Life Insurance Company	301829	Agent - Health	12/1/2023
Active	Brighthouse Life Insurance Company	301829	Agent - Life	12/1/2023
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	12/1/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/26/2023
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/27/2020	7/1/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/17/2018	7/1/2023
Inactive	Everly Life Insurance Company	561641	Agent - Life	8/2/2018	11/14/2018
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/31/2020	7/1/2023
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/2/2018	7/1/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/2/2018	7/1/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/2/2018	7/1/2023
Inactive	Great Western Insurance Company	501693	Agent - Life	10/23/2019	12/28/2020
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	10/18/2016	11/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/10/2016	11/30/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/5/2016	11/30/2020
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2023
Active	Humana Insurance Company	301104	Agent - Health	9/29/2023
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/2018	7/1/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2023
Inactive	Independent Order of Foresters	300743	Agent - Life	9/7/2018	7/1/2023
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	7/19/2016	7/1/2023
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	3/6/2014	12/12/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/11/2021	7/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/11/2021	7/1/2023
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/12/2019	7/1/2023
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/12/2019	7/1/2023
Inactive	Nassau Life and Annuity Company	513671	Agent - Life	2/14/2020	11/29/2021
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/19/2022	7/1/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/19/2022	7/1/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/24/2023	7/1/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/24/2023	7/1/2023
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	4/24/2023	7/1/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/14/2023	7/1/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/14/2023	7/1/2023
Inactive	Reserve National Insurance Company	301073	Agent - Life	1/30/2013	1/31/2017
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	7/20/2021	2/28/2022
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	4/3/2019	1/5/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/1/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/6/2023	7/1/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/6/2023	7/1/2023
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/11/2021	3/9/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	3/29/2019	10/22/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/24/2018	3/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/24/2018	3/22/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/26/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/13/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/26/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/14/2019	7/1/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/14/2019	7/1/2023
Active	LPL FINANCIAL LLC	399327	Agent - Life	11/17/2023
Active	LPL FINANCIAL LLC	399327	Agent - Health	11/17/2023
Active	LPL FINANCIAL LLC	399327	Agent - Variable Life and Variable Annuities	11/17/2023
Active	Veritas Financial Solutions LLC	997952	Agent - Life	9/27/2023
Active	Veritas Financial Solutions LLC	997952	Agent - Health	8/27/2023
Active	Veritas Financial Solutions LLC	997952	Agent - Variable Life and Variable Annuities	9/19/2023