DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Community Ins Services LLC	DOIID	874089	NAIC NPN	17550805

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	7/18/2017	3/31/2025
Active	Resident	Agent	Health	7/18/2017	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	Aetna Health and Life Insurance Company	300523	Agent - Health	10/20/2016	11/30/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	8/19/2016	11/30/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/4/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/4/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/16/2015	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/16/2015	3/31/2017
Active	Bankers Fidelity Assurance Company	554627	Agent - Health	9/27/2017
Active	Bankers Fidelity Assurance Company	554627	Agent - Life	9/27/2017
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/27/2017
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/27/2017
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/4/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/14/2017	8/17/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/14/2017	8/17/2020
Inactive	Reserve National Insurance Company	301073	Agent - Health	8/6/2018	8/13/2019
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/6/2018	8/13/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/5/2015	8/19/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/5/2015	8/19/2016
Inactive	United National Life Insurance Company	844837	Agent - Health	1/23/2018	12/31/2020
Inactive	United National Life Insurance Company	844837	Agent - Life	1/23/2018	12/31/2020
Inactive	United Security Assurance Company of Pennsylvania	736757	Agent - Health	6/23/2016	4/7/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Vincent, Jane M	702759	Agent - Health	7/18/2017
Active	Vincent, Jane M	702759	Agent - Life	7/18/2017