DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Amerilife Ins Marketing LLC	DOIID	827225	NAIC NPN	16285185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/11/2013		3/31/2027
Active	Non Resident	Agent	Life	11/11/2013		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	01/15/2025	03/31/2025	01/30/2025	01/30/2025	Yes

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	1/21/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/21/2020
Active	American Life & Security Corp	1055058	Agent - Life	7/14/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/2/2019	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/2/2019	2/3/2025
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	6/4/2020	2/26/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/15/2021
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/15/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022	2/26/2025
Active	Royal Neighbors of America	301646	Agent - Life	9/9/2015
Active	SilverScript Insurance Company	663526	Agent - Health	1/21/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/12/2018	2/8/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/12/2018	2/8/2022
Active	Graham, Matthew B	640480	Agent - Health	2/8/2022
Active	Graham, Matthew B	640480	Agent - Life	2/8/2022
Inactive	North, Timothy Owen	514133	Agent - Health	11/11/2013	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	11/11/2013	4/13/2018