DEPARTMENT OF INSURANCE

Affiliations

Name	ACSIA Partners LLC	DOIID	784413	NAIC NPN	16681836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/19/2012	3/31/2026
Active	Non Resident	Agent	Health	6/19/2012	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	8/6/2021
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/13/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/4/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	9/4/2018	8/11/2021
Active	Banner Life Insurance Company	301696	Agent - Life	12/18/2023
Active	Combined Insurance Company of America	301472	Agent - Health	12/15/2014
Active	Combined Insurance Company of America	301472	Agent - Life	12/15/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/4/2018
Inactive	Federal Life Insurance Company	300945	Agent - Health	8/1/2023	7/18/2024
Inactive	Federal Life Insurance Company	300945	Agent - Life	8/1/2023	7/18/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/23/2015
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/23/2015
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/19/2016
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/19/2016
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	6/10/2015	11/19/2015
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/26/2018
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/26/2018
Active	Pruco Life Insurance Company	300954	Agent - Life	7/31/2023
Inactive	Reserve National Insurance Company	301073	Agent - Health	6/10/2015	5/24/2021
Inactive	Reserve National Insurance Company	301073	Agent - Life	6/10/2015	5/24/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/5/2013	2/15/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/5/2013	1/8/2016
Active	State Life Insurance Company	301497	Agent - Health	4/6/2015
Active	State Life Insurance Company	301497	Agent - Life	4/6/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/20/2015
Active	Trustmark Insurance Company	300317	Agent - Health	7/29/2021
Active	Trustmark Insurance Company	300317	Agent - Life	7/29/2021
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	10/28/2014	11/16/2020
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Life	10/28/2014	11/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cohen, Robert W	801495	Agent - Health	3/1/2013	7/15/2014
Inactive	Cohen, Robert W	801495	Agent - Life	3/1/2013	7/15/2014
Inactive	Dehn, Kenneth William	720705	Agent - Health	7/15/2014	10/9/2017
Inactive	Dehn, Kenneth William	720705	Agent - Life	2/2/2015	10/9/2017
Inactive	Goldberg, Mark Harvey	667441	Agent - Health	6/19/2012	3/1/2013
Inactive	Goldberg, Mark Harvey	667441	Agent - Life	6/19/2012	3/1/2013
Active	Hensley, Steven Andrew	873190	Agent - Health	10/9/2017
Active	Hensley, Steven Andrew	873190	Agent - Life	10/9/2017
Inactive	Skiff, Deborah Lynn	612455	Agent - Health	6/19/2012	3/1/2013
Inactive	Skiff, Deborah Lynn	612455	Agent - Life	6/19/2012	3/1/2013
Inactive	Tancredi, Debra Dorman	835096	Agent - Health	5/30/2014	12/8/2015
Inactive	Tancredi, Debra Dorman	835096	Agent - Life	5/30/2014	12/8/2015