DEPARTMENT OF INSURANCE

Affiliations

Name	National Brokerage Alliance LLC	DOIID	810847	NAIC NPN	16967490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/22/2013	3/31/2027
Active	Resident	Agent	Life	5/22/2013	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/16/2023	1/26/2026
Active	Accendo Insurance Company	300312	Agent - Life	11/22/2022
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/4/2015	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/4/2015	12/21/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/27/2023	6/20/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/7/2013
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/7/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/7/2013	4/15/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/22/2013	12/27/2022
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	1/14/2016	5/3/2018
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/25/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/2/2014	3/6/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/3/2015	1/13/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/1/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/22/2022
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	8/15/2014	2/6/2023
Inactive	Everly Life Insurance Company	561641	Agent - Life	12/24/2013	12/28/2016
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/31/2014	1/2/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/31/2014	1/2/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/12/2015	11/13/2025
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/12/2015	11/13/2025
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	7/25/2022
Inactive	Insurance Company of North America	300226	Agent - Health	11/30/2025	1/26/2026
Active	Loyal American Life Insurance Company	301172	Agent - Health	8/29/2013
Active	Loyal American Life Insurance Company	301172	Agent - Life	6/14/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	2/11/2025	5/5/2025
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	2/11/2025	5/5/2025
Inactive	Medico Insurance Company	301559	Agent - Health	12/27/2024	5/5/2025
Inactive	Medico Insurance Company	301559	Agent - Life	12/27/2024	5/5/2025
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	10/21/2019	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	10/21/2019	12/28/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/1/2022	4/24/2023
Inactive	PHL Variable Insurance Company	300525	Agent - Life	4/27/2015	12/3/2020
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	1/25/2019	1/29/2025
Active	Principal National Life Insurance Company	301926	Agent - Life	5/21/2015
Inactive	Reserve National Insurance Company	301073	Agent - Health	5/14/2018	5/15/2019
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/14/2018	5/15/2019
Inactive	Royal Neighbors of America	301646	Agent - Life	6/11/2014	12/15/2017
Active	Standard Life and Casualty Insurance Company	301699	Agent - Health	1/15/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	6/27/2014	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	6/27/2014	10/1/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2015	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2015	10/1/2020
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	7/8/2013	11/25/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/29/2017	4/5/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	6/29/2017	4/5/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2015	4/15/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/29/2017	4/5/2018
Active	Washington National Insurance Company	300587	Agent - Health	9/2/2014
Active	Washington National Insurance Company	300587	Agent - Life	9/2/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022	5/25/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Myatt, Davy Ray	379309	Agent - Health	5/22/2013
Active	Myatt, Davy Ray	379309	Agent - Life	5/22/2013