DEPARTMENT OF INSURANCE

Affiliations

Name	Continental Ins Service	DOIID	786208	NAIC NPN	16709862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/14/2012	3/31/2026
Active	Non Resident	Agent	Health	7/14/2012	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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/27/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/20/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	3/27/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	3/27/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	8/20/2019	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/6/2012	11/20/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/2/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/2/2014	12/24/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/15/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/15/2017	12/21/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	3/27/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/26/2012
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/26/2012	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baskin, Michael Eugene	332200	Agent - Health	7/14/2012
Active	Baskin, Michael Eugene	332200	Agent - Life	7/14/2012