DEPARTMENT OF INSURANCE

Affiliations

Name	Champine, Neil	DOIID	871159	NAIC NPN	17523580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/29/2023	6/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	8/30/2023	6/30/2025
Active	Resident	Agent	Life	8/30/2023	6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	10/20/2020	7/1/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/5/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/20/2020	7/1/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/5/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	9/5/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	10/20/2020	8/11/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/5/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/5/2024
Active	American General Life Insurance Company	301585	Agent - Health	2/16/2024
Active	American General Life Insurance Company	301585	Agent - Life	2/16/2024
Active	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	2/16/2024
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/22/2020	1/2/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2023	6/4/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2023	6/4/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2023	6/4/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/10/2021	7/1/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/10/2021	7/1/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/17/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/23/2024
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/23/2015	6/24/2015
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2023	6/4/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/20/2020	7/1/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/6/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/22/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	3/7/2021	7/1/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/15/2019	7/1/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/15/2019	7/1/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2020	12/13/2022
Active	Humana Insurance Company	301104	Agent - Health	9/15/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/22/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/19/2020	12/13/2022
Inactive	IA American Life Insurance Company	301149	Agent - Life	5/23/2019	7/1/2023
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/1/2021	7/25/2022
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	3/1/2021	7/25/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/16/2016	10/30/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/16/2016	10/30/2018
Inactive	Medico Insurance Company	301559	Agent - Health	8/6/2024	12/23/2024
Inactive	Medico Insurance Company	301559	Agent - Life	8/6/2024	12/23/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/6/2023
Inactive	National Health Insurance Company	300554	Agent - Health	2/28/2019	7/1/2023
Inactive	National Health Insurance Company	300554	Agent - Life	2/28/2019	7/1/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	6/26/2018	7/1/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/26/2018	7/1/2023
Active	Physicians Mutual Insurance Company	301084	Agent - Health	1/26/2024
Inactive	Primerica Life Insurance Company	300970	Agent - Health	12/14/2015	2/8/2018
Inactive	Primerica Life Insurance Company	300970	Agent - Life	12/14/2015	2/8/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/5/2023
Inactive	Time Insurance Company	300683	Agent - Health	8/15/2019	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	8/15/2019	11/22/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/27/2018	7/25/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/27/2018	7/25/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/27/2018	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/27/2018	10/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/10/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/24/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Answers, Inc	1269536	Agent - Health	4/19/2023	7/1/2023
Inactive	American Answers, Inc	1269536	Agent - Life	4/19/2023	7/1/2023
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/1/2021	7/25/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	4/4/2018	7/25/2022
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Variable Life and Variable Annuities	7/1/2021	7/25/2022