DEPARTMENT OF INSURANCE

Affiliations

Name	The Kleiner Group, LLC DBA : Preferred Insurance Group , Preferred Insurance Group	DOIID	887637	NAIC NPN	17689583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	8/19/2015	3/31/2025
Active	Resident	Agent	Health	8/19/2015	3/31/2025
Active	Resident	Agent	Casualty	8/19/2015	3/31/2025
Active	Resident	Agent	Property	8/19/2015	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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/27/2017
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	9/13/2016	5/16/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/2/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	6/2/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	6/2/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/11/2016	12/12/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/11/2016	12/12/2016
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	11/2/2015	3/31/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/21/2015	12/6/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/21/2015	12/6/2022
Active	National Health Insurance Company	300554	Agent - Health	9/26/2018
Active	National Health Insurance Company	300554	Agent - Life	9/26/2018
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/30/2016
Active	Principal Life Insurance Company	300129	Agent - Health	10/5/2016
Active	Principal Life Insurance Company	300129	Agent - Life	10/5/2016
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	9/23/2016
Inactive	Time Insurance Company	300683	Agent - Life	11/9/2016	11/15/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/3/2017	8/12/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/3/2017	8/12/2019
Active	United States Fire Insurance Company	582240	Agent - Health	6/16/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barker, Matt	907039	Agent - Health	4/1/2020	4/1/2022
Inactive	Barker, Matt	907039	Agent - Life	3/28/2016	4/1/2022
Active	Clements, Thomas Robert	767784	Agent - Health	10/8/2015
Active	Clements, Thomas Robert	767784	Agent - Life	10/8/2015
Active	Kleiner, Mark Harris	351651	Agent - Casualty	8/19/2015
Active	Kleiner, Mark Harris	351651	Agent - Health	8/19/2015
Active	Kleiner, Mark Harris	351651	Agent - Life	8/19/2015
Active	Kleiner, Mark Harris	351651	Agent - Property	8/19/2015
Active	Kleiner, Tiffany	878393	Agent - Health	10/8/2015
Active	Kleiner, Tiffany	878393	Agent - Life	4/18/2016
Inactive	Ray, Brandon	907041	Agent - Health	3/11/2016	9/30/2018
Inactive	Ray, Brandon	907041	Agent - Life	3/11/2016	9/30/2018
Active	Thomas, Rebecca Lynn	821685	Agent - Health	10/8/2015
Denied	Thomas, Rebecca Lynn	821685	Agent - Life
Inactive	Villar-Mendez, Jordan	860343	Agent - Health	10/8/2015	4/1/2019