DEPARTMENT OF INSURANCE

Affiliations

Name	A.G. Insurance Agencies, LLC	DOIID	873562	NAIC NPN	1332192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/21/2018	3/31/2025
Active	Non Resident	Agent	Health	11/21/2018	3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	5/15/2015	9/16/2018
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/20/2015	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/20/2015	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/20/2015	11/3/2016
Inactive	Catlin Insurance Company, Inc.	300979	Agent - Health	10/19/2015	6/20/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/16/2015	9/16/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	9/16/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/7/2019	12/19/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/30/2016	9/16/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/23/2015	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/23/2015	12/14/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/7/2019	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/16/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/7/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/7/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/7/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/7/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/7/2019	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/7/2019	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/16/2015	4/28/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/16/2015	4/28/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/16/2019
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/23/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/23/2015	11/4/2016
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gomes, Michael Anthony	667170	Agent - Health	4/1/2015	6/18/2018
Inactive	Gomes, Michael Anthony	667170	Agent - Life	4/1/2015	6/18/2018
Active	Stiller, Tiffany Eileen	884307	Agent - Health	11/21/2018
Active	Stiller, Tiffany Eileen	884307	Agent - Life	11/21/2018