DEPARTMENT OF INSURANCE

Affiliations

Name	Amac Broker Services, Inc.	DOIID	898325	NAIC NPN	17646902

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/19/2022	3/31/2027
Active	Non Resident	Agent	Health	1/19/2022	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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	10/28/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/21/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/21/2017	10/1/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/27/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	1/27/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/16/2017	10/1/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	11/21/2017	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	9/2/2022
Active	American General Life Insurance Company	301585	Agent - Life	9/2/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/10/2016	6/24/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/10/2016	6/24/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/10/2016	6/24/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/21/2017	10/1/2021
Inactive	Everest Reinsurance Company	301836	Agent - Health	11/7/2016	10/1/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/16/2017	10/1/2021
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	7/11/2017	4/18/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	7/11/2017	4/18/2018
Inactive	Medico Insurance Company	301559	Agent - Health	7/11/2017	12/26/2018
Inactive	Medico Insurance Company	301559	Agent - Life	7/11/2017	12/26/2018
Active	National Health Insurance Company	300554	Agent - Health	7/16/2022
Active	National Health Insurance Company	300554	Agent - Life	7/16/2022
Active	SilverScript Insurance Company	663526	Agent - Health	1/21/2022
Active	Tier One Insurance Company	301056	Agent - Health	4/3/2023
Active	Tier One Insurance Company	301056	Agent - Life	4/3/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gay, Brian	833384	Agent - Health	5/6/2025
Pending	Gay, Brian	833384	Agent - Life
Active	Keiffert, Rebecca R	747792	Agent - Health	1/19/2022
Active	Keiffert, Rebecca R	747792	Agent - Life	1/19/2022
Inactive	Weber, Daniel	897427	Agent - Health	11/9/2015	7/31/2021
Inactive	Weber, Daniel	897427	Agent - Life	11/9/2015	7/31/2021