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	Health	11/21/2018	3/31/2027
Active	Non Resident	Agent	Life	11/21/2018	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	ACE American Insurance Company	300625	Agent - Health	5/15/2015	9/16/2018
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	10/19/2015	6/20/2018
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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/19/2025
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/19/2025
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	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