PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAdvantage National Marketing LLCDOIID776103NAIC NPN16563313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth3/2/2012 3/31/2026
ActiveResidentAgentLife3/2/2012 3/31/2026
* 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
ActiveAccendo Insurance Company300312Agent - Life10/9/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health3/6/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/10/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/30/2020 
ActiveAetna Life Insurance Company301140Agent - Health3/6/2020 
InactiveAmerican Continental Insurance Company643130Agent - Health8/25/201410/28/2015
InactiveAmerican Continental Insurance Company643130Agent - Life10/10/20178/11/2021
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/24/2013 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/5/201211/20/2013
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/17/201312/24/2015
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health8/20/20156/8/2016
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life8/20/20156/8/2016
ActiveAugustar Life Assurance Corporation301113Agent - Health1/21/2022 
ActiveAugustar Life Assurance Corporation301113Agent - Life1/21/2022 
ActiveAugustar Life Insurance Company301816Agent - Life1/21/2022 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/10/2018 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/10/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health5/10/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life5/10/2018 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/9/201712/21/2018
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/18/20225/9/2023
ActiveColumbus Life Insurance Company301227Agent - Life10/21/2021 
InactiveCombined Insurance Company of America301472Agent - Health1/27/201410/15/2020
ActiveCompBenefits Insurance Company301864Agent - Health1/4/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/10/2017 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life10/1/20127/17/2014
ActiveDental Concern Inc. (The)301641Agent - Health7/25/2024 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/13/20155/28/2018
InactiveForethought Life Insurance Company301407Agent - Health9/3/201312/29/2014
InactiveGerber Life Insurance Company300529Agent - Health7/7/20136/25/2018
InactiveGerber Life Insurance Company300529Agent - Life7/7/20136/25/2018
InactiveGreat Western Insurance Company501693Agent - Life1/16/20239/12/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Health12/14/202212/27/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Life12/14/202212/27/2024
ActiveHumana Insurance Company301104Agent - Health9/19/2022 
ActiveLafayette Life Insurance Company (The)301039Agent - Life4/9/2021 
InactiveLiberty Bankers Life Insurance Company542461Agent - Life4/26/201512/5/2018
InactiveLoyal American Life Insurance Company301172Agent - Health10/3/201412/21/2018
InactiveLoyal American Life Insurance Company301172Agent - Life2/22/201812/21/2018
InactiveMedico Corp Life Insurance Company301777Agent - Health8/15/20142/13/2017
InactiveMedico Corp Life Insurance Company301777Agent - Life8/15/20142/13/2017
InactiveMedico Insurance Company301559Agent - Health8/15/20142/13/2017
InactiveMedico Insurance Company301559Agent - Life8/15/20142/13/2017
InactiveMutual of Omaha Insurance Company301012Agent - Health10/4/20178/22/2018
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/4/20154/26/2019
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life1/8/2021 
ActiveOhio State Life Insurance Company (The)300865Agent - Life2/24/2022 
InactiveOmaha Insurance Company751908Agent - Health10/4/20178/8/2018
InactivePHL Variable Insurance Company300525Agent - Life10/31/201412/4/2020
ActiveSilverScript Insurance Company663526Agent - Health3/6/2020 
InactiveStonebridge Life Insurance Company301614Agent - Health9/14/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life9/14/201210/1/2015
ActiveTransamerica Life Insurance Company300571Agent - Health8/18/2014 
ActiveTransamerica Life Insurance Company300571Agent - Life8/18/2014 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/27/201510/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/27/201510/1/2020
InactiveUnited Teacher Associates Insurance Company300747Agent - Health9/9/201311/25/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/4/20178/22/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/4/20178/22/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/18/20225/9/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/18/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health1/23/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/30/20154/30/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/18/20225/9/2023
ActiveWashington National Insurance Company300587Agent - Health6/20/2013 
ActiveWashington National Insurance Company300587Agent - Life6/20/2013 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health9/15/20223/1/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health9/15/20223/1/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCostellow, Caleb Allen 636588Agent - Health3/14/2012 
ActiveCostellow, Caleb Allen 636588Agent - Life3/14/2012 
DeniedCostellow, Glenda D 370200Agent - Health  
ActiveCostellow, Glenda D 370200Agent - Life8/23/2023 
ActiveCostellow, Wayburn Allen 347664Agent - Health3/14/2012 
ActiveCostellow, Wayburn Allen 347664Agent - Life3/14/2012 
InactiveMcCoy, Bonita Faye 319743Agent - Health12/3/20125/1/2023
InactiveMcCoy, Bonita Faye 319743Agent - Life5/1/20195/1/2023

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