DEPARTMENT OF INSURANCE

Affiliations

Name	National Underwriting Service LLC	DOIID	815967	NAIC NPN	16990290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/30/2013	3/31/2027
Active	Non Resident	Agent	Health	7/30/2013	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	5 Star Life Insurance Company	300673	Agent - Health	4/11/2016	12/13/2016
Inactive	5 Star Life Insurance Company	300673	Agent - Life	4/11/2016	12/13/2016
Active	Accendo Insurance Company	300312	Agent - Health	7/25/2022
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/25/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/14/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	11/14/2025
Inactive	American General Life Insurance Company	301585	Agent - Health	11/1/2016	6/9/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	11/1/2016	6/9/2022
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/24/2025
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	10/12/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/22/2014	12/17/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/22/2014	12/17/2018
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	5/1/2017	12/18/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	5/1/2017	12/18/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/1/2017	12/18/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/1/2017	12/18/2023
Active	CICA Life Insurance Company of America	600487	Agent - Life	9/6/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	12/23/2025
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/21/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/25/2022
Inactive	Everly Life Insurance Company	561641	Agent - Life	3/5/2014	6/8/2016
Active	Gerber Life Insurance Company	300529	Agent - Health	6/13/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	6/13/2022
Inactive	KSKJ Life	775663	Agent - Life	6/29/2015	1/4/2024
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	9/5/2013
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	9/5/2013
Active	LifeShield National Insurance Company	737111	Agent - Life	10/23/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/7/2024	9/30/2024
Active	Mountain Life Insurance Company	301001	Agent - Life	3/26/2026
Inactive	Oxford Life Insurance Company	301079	Agent - Health	10/15/2013	12/26/2019
Active	Oxford Life Insurance Company	301079	Agent - Life	4/11/2025
Active	Pekin Life Insurance Company	300951	Agent - Life	4/9/2026
Active	Physicians Life Insurance Company	300924	Agent - Health	1/17/2023
Active	Physicians Life Insurance Company	300924	Agent - Life	1/17/2023
Active	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	1/17/2023
Active	Royal Neighbors of America	301646	Agent - Life	8/21/2014
Inactive	SBLI USA Life Insurance Company, Inc.	980989	Agent - Health	11/9/2021	1/1/2024
Active	Security National Life Insurance Company	569786	Agent - Life	10/21/2014
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	1/21/2019
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	1/21/2019
Active	SilverScript Insurance Company	663526	Agent - Health	11/14/2025
Active	Standard Life and Casualty Insurance Company	301699	Agent - Health	9/3/2015
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	Trinity Life Insurance Company	552459	Agent - Life	11/11/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/23/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/23/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burke, J Scott	596140	Agent - Health	7/30/2013
Active	Burke, J Scott	596140	Agent - Life	7/30/2013