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	Health	7/30/2013	3/31/2027
Active	Non Resident	Agent	Life	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.

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
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	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
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	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	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

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