DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Jr, Stephen D	DOIID	810623	NAIC NPN	16964991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/21/2013	9/30/2024
Active	Non Resident	Agent	Health	5/21/2013	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2021
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	5/22/2013
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	5/22/2013
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	1/12/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	4/14/2017
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/21/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	7/13/2023	2/22/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/10/2014	3/23/2016
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/18/2014	5/28/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/25/2015	6/29/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/25/2015	6/29/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/28/2019	4/22/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/28/2019	4/22/2022
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/16/2015	10/3/2016
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/10/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/18/2014	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/18/2014	5/28/2015
Active	Humana Insurance Company	301104	Agent - Health	6/6/2024
Inactive	Humana Insurance Company	301104	Agent - Life	11/18/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/18/2014	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/18/2014	5/28/2015
Inactive	Independence American Insurance Company	524747	Agent - Health	11/6/2017	12/11/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/18/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/18/2014	5/28/2015
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	6/20/2021	5/10/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Life	3/2/2016	1/19/2023
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	7/24/2017	12/17/2019
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	7/24/2017	12/17/2019
Active	National Health Insurance Company	300554	Agent - Health	3/4/2022
Active	National Health Insurance Company	300554	Agent - Life	3/4/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/2/2016	4/24/2017
Inactive	PHL Variable Insurance Company	300525	Agent - Life	7/14/2015	11/17/2016
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	9/26/2018	10/17/2022
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/5/2015	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/5/2015	12/27/2018
Inactive	Time Insurance Company	300683	Agent - Health	6/3/2013	10/25/2016
Inactive	Time Insurance Company	300683	Agent - Life	6/3/2013	10/25/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/16/2015	9/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/16/2015	9/22/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/8/2021	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2021	12/28/2021
Inactive	Wesco Insurance Company	300534	Agent - Health	9/20/2013	8/17/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	1/12/2015
Active	Designated Agent Company Inc.	681257	Agent - Health	1/12/2015
Inactive	Ican Benefit Group, LLC	663794	Agent - Life	8/8/2016	3/31/2023
Inactive	Ican Benefit Group, LLC	663794	Agent - Health	8/8/2016	3/31/2023